Organization · Type 2 NPI
Deep Roots Healthcare LLC
Family Nurse Practitioner · Atlantic Beach, FL
NPI number
1982558078
Active
Practice location
431 Selva Lakes Cir
Atlantic Beach, FL 32233-4355
Mailing address
1015 Atlantic Blvd Ste 404
Atlantic Beach, FL 32233-3313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1982558078
Deep Roots Healthcare LLC's National Provider Identifier is 1982558078, issued on Feb 24, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Atlantic Beach, FL. The record was last updated on Feb 24, 2026.