Primary Care of Orange City LLC
NPI #1972249530 in Orange City, Florida
Provider Information
- NPI Number
- 1972249530
- Entity Type
- Organization
- Organization Name
- Primary Care of Orange City LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRIMARY CARE OF ORANGE CITY LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 6, 2022
- Last Updated
- Jun 29, 2022
Practice Location
- Address
- 135 E MINNESOTA AVE
- City
- Orange City
- State
- Florida
- ZIP Code
- 32763-2312
- Phone
- (386) 316-5439
Authorized Official
- Name
- JOHN CROKER, APRN
- Title
- CEO
- Phone
- (386) 473-3553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Nurse Practitioner |
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