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NPI 1720972565

NPI 1720972565 : MARTHA BRIGGS RN : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1720972565
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    Entity Type          |    Individual 
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    Provider Name        |    MARTHA BRIGGS RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/05/2025
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    Last Update Date     |    06/05/2025
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Provider Practice Location Address
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    Address Line         |    601 E ROLLINS ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32803-1248
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    Country              |    US
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    Telephone            |    407-303-5600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12467 SE 115TH AVE 
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    City                 |    BELLEVIEW
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    State                |    FL
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    Zip                  |    34420-5541
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    Country              |    US
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    Telephone            |    
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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        |    163WN0002X
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    Taxonomy Name        |    Neonatal Intensive Care Registered Nurse
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    License Number       |    RN9346988
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    License Number State |    FL
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