Organization · Type 2 NPI

Primary Care of Orange City LLC

Nurse Practitioner · Orange City, FL

NPI number 1972249530 Active

Practice location

135 E Minnesota Ave
Orange City, FL 32763-2312

Call (386) 316-5439 Map

Mailing address

341 W Minnesota Ave
Orange City, FL 32763-2205

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

Other nurse practitioner providers in Orange City

Deltona Wellness & Psychiatry Clinic PLLCNurse Practitioner Orange City, FL NPI 1396551347

See all in Orange City →

NPI record

NPI: 1972249530
Entity type: Organization (Type 2)
Issued: May 6, 2022
Last updated: Jun 29, 2022
Status: Active
Subpart: Yes of Primary Care of Orange City LLC

Other names

<unavail>
Home Wound Care Florida · doing business as
Home Wound Care Florida · doing business as

Authorized official

John Croker, APRN
CEO
(386) 473-3553

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972249530

Primary Care of Orange City LLC's National Provider Identifier is 1972249530, issued on May 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange City, FL. The record was last updated on Jun 29, 2022.