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General NPI Number Information
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NPI Number | 1619785805
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH OF CENTRAL FLORIDA PLLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 13674 W HILLSBOROUGH AVE
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City | TAMPA
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State | FL
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Zip | 33635-9638
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Country | US
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Telephone | 786-449-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 7520 BROOKHAVEN CT
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City | TAMPA
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State | FL
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Zip | 33634-2924
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Country | US
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Telephone | 786-449-7759
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MANAGING MEMBER
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Name | YAIMA RODRIGUEZ
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Credential | APRN
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Telephone | 786-449-7759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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