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General NPI Number Information
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NPI Number | 1689495624
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Entity Type | Individual
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Provider Name | JORGE AGUIAR GONZALEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 9855 E FERN ST
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City | PALMETTO BAY
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State | FL
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Zip | 33157-5413
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Country | US
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Telephone | 786-404-1008
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Fax | 786-600-1961
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Provider Business Mailing Address
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Address Line | 1480 NE 33RD AVE UNIT 102
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City | HOMESTEAD
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State | FL
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Zip | 33033-6133
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Country | US
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Telephone | 786-506-6080
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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 | APRN11036073
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License Number State | FL
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