Organization · Type 2 NPI
Grace Clinic LLC
Family Nurse Practitioner · Homosassa, FL
NPI number
1689083313
Active
Practice location
3542 S Suncoast Blvd
Homosassa, FL 34448-2327
Fax (352) 503-6824
Mailing address
PO Box 292
Crystal River, FL 34423-0292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1689083313
Grace Clinic LLC's National Provider Identifier is 1689083313, issued on Aug 6, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Homosassa, FL. The record was last updated on Aug 6, 2014.