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General NPI Number Information
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NPI Number | 1891397998
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Entity Type | Individual
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Provider Name | MICHELLE SURIEL APRN
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 509 S SEMORAN BLVD
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City | ORLANDO
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State | FL
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Zip | 32807-4334
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Country | US
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Telephone | 407-277-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 12879 SUNSTONE AVE APT 4102
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City | ORLANDO
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State | FL
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Zip | 32832-6264
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Country | US
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Telephone | 321-609-1969
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11010057
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11010057
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | APRN11010057
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License Number State | FL
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