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General NPI Number Information
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NPI Number | 1952161499
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Entity Type | Organization
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Legal Business Name | PRIORITY PEDIATRICS LLC
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1216 SE 24TH RD
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City | OCALA
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State | FL
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Zip | 34471-6010
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Country | US
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Telephone | 352-664-2281
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Fax | 352-756-4734
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Provider Business Mailing Address
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Address Line | 1216 SE 24TH RD
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City | OCALA
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State | FL
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Zip | 34471-6010
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Country | US
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Telephone | 352-664-2281
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Fax | 352-756-4734
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Authorized Official
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Title or Position | MANAGER
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Name | ANTOINETTE EVELYN
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Credential | DNP, APRN
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Telephone | 352-664-2281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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