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General NPI Number Information
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NPI Number | 1619377439
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Entity Type | Individual
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Provider Name | ROLANDO URGELLES DEL TORO FNP-C
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Gender | Male
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 2400 MAITLAND CENTER PKWY STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-7442
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Country | US
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Telephone | 407-426-4800
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Fax | 407-426-4820
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Provider Business Mailing Address
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Address Line | 2400 MAITLAND CENTER PKWY STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-7442
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11008864
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11008864
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9117761
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License Number State | FL
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