LAUREN VINE REDONDO


Address: 7648 Sw 105th Pl, Miami, FL 33173-2931
Phone: 7862810009

LAUREN VINE REDONDO (NPI# 1396346995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396346995
Entity Type Individual
Full Name LAUREN VINE REDONDO
Practice Address 7648 Sw 105th Pl
Miami
FL 33173-2931
Practice Telephone 7862810009
Mailing Telephone 7862810009
Enumeration Date 2020-11-02
Last Update Date 2020-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11009879 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7648 SW 105TH PL
City MIAMI
State FL
Zip Code 33173-2931

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33173

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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