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General NPI Number Information
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NPI Number | 1881586725
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Entity Type | Individual
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Provider Name | TRAVIS E LITZ APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 2831 E OAKLAND PARK BLVD SUITE 9 PMB 1162
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1803
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Country | US
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Telephone | 786-472-3829
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Fax |
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Provider Business Mailing Address
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Address Line | 705 NE 14TH PL UNIT B
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1122
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Country | US
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Telephone | 305-699-7309
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Fax | 754-315-2781
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11040962
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License Number State | FL
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