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General NPI Number Information
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NPI Number | 1710527056
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Entity Type | Individual
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Provider Name | ADRIJANA MIJATOVIC NP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 10000 W COLONIAL DR STE 289
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 321-841-4344
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Fax | 321-842-4784
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Provider Business Mailing Address
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Address Line | 1335 SLIGH BLVD 3RD FL
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 321-841-9205
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Fax | 321-842-3651
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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 | APRN11005772
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11005772
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License Number State | FL
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