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General NPI Number Information
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NPI Number | 1750037982
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Entity Type | Organization
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Legal Business Name | LOTUS WELLNESS INSTITUTE, LLC
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Dates
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Enumeration Date | 02/25/2022
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 10651 N KENDALL DR STE 100
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City | MIAMI
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State | FL
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Zip | 33176-1573
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Country | US
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Telephone | 786-502-2454
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Fax | 786-502-2454
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Provider Business Mailing Address
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Address Line | 10651 N KENDALL DR STE 100
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City | MIAMI
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State | FL
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Zip | 33176-1573
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Country | US
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Telephone | 786-502-2454
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Fax | 786-502-2454
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ERNESTO HERNANDEZ RODRIGUEZ
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Credential |
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Telephone | 786-525-3887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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