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General NPI Number Information
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NPI Number | 1861109415
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Entity Type | Individual
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Provider Name | YAMELKY CASTRO ESTIVEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2001 49TH ST S
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City | GULFPORT
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State | FL
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Zip | 33707-4915
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Country | US
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Telephone | 727-291-0053
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Fax | 813-994-0866
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Provider Business Mailing Address
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Address Line | 5819 ARGERIAN DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-4159
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Country | US
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Telephone | 813-994-0800
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Fax | 813-994-0866
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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 | APRN1022792
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License Number State | FL
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