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General NPI Number Information
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NPI Number | 1649083999
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Entity Type | Organization
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Legal Business Name | LAUREN M BRANCIFORTE
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4401 COLONY VIEW DR
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City | LAKE WORTH
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State | FL
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Zip | 33463-7843
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Country | US
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Telephone | 904-334-0910
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Fax | 561-928-0650
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Provider Business Mailing Address
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Address Line | 4401 COLONY VIEW DR
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City | LAKE WORTH
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State | FL
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Zip | 33463-7843
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Country | US
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Telephone | 904-334-0910
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Fax | 561-928-0650
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAUREN M BRANCIFORTE
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Credential |
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Telephone | 904-334-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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