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Travel Well Care LLC is a registered Out-of-State Telehealth Provider in Florida. For more information on the Florida Department of Health’s telehealth regulations, please visit flhealthsource.gov/telehealth.

Provider: [Your Full Name], MSN, APRN, FNP-C

Credentials: Registered Rhode Island NP #XXXXX | Florida Telehealth Provider #XXXXX

Registered Agent: [Name and Address of your required Florida Registered Agent]

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