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General NPI Number Information
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NPI Number | 1689543332
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Entity Type | Individual
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Provider Name | MS. KARIN JURKOVICOVA
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Gender | Male
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1205 DR MARTIN L KING JR WAY
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City | HAINES CITY
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State | FL
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Zip | 33844-3490
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Country | US
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Telephone | 863-438-2752
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Fax |
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Provider Business Mailing Address
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Address Line | 1479 ASHDOWN CT
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City | SANFORD
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State | FL
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Zip | 32771-8081
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Country | US
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Telephone | 863-353-6853
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Fax | 863-438-2752
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11040790
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License Number State | FL
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