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General NPI Number Information
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NPI Number | 1649128794
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Entity Type | Organization
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Legal Business Name | CELINA UNDERWOOD APRN PA
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 220 45TH AVE
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City | ST PETE BEACH
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State | FL
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Zip | 33706-2525
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Country | US
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Telephone | 727-512-8183
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Fax |
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Provider Business Mailing Address
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Address Line | 220 45TH AVE
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City | ST PETE BEACH
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State | FL
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Zip | 33706-2525
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Country | US
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Telephone | 727-512-8183
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CELINA UNDERWOOD
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Credential | APRN, FNP
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Telephone | 727-512-8322
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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 |
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License Number State |
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