Organization · Type 2 NPI
John Knox Village of Central Florida, Inc
Primary Care Nurse Practitioner · Orange City, FL
NPI number
1861263147
Active
Practice location
101 Northlake Drive
Orange City, FL 32763-6167
Fax (386) 456-1550
Mailing address
101 Northlake Dr
Orange City, FL 32763-6167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1861263147
John Knox Village of Central Florida, Inc's National Provider Identifier is 1861263147, issued on Jan 15, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Orange City, FL. The record was last updated on Aug 5, 2025.