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Organization
ADVANCED PRACTICE AND WELLNESS LLC
Active
Organization
ADVANCED PRACTICE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WADE PRINCE (CO-OWNER)
(256) 612-0173
Entity
Organization
Contact information
Practice address
2425 S VOLUSIA AVE STE B3, ORANGE CITY, FL 32763-7625
(386) 473-7005
(386) 473-7006
Mailing address
2425 S VOLUSIA AVE STE B3, ORANGE CITY, FL 32763-7625
(386) 473-7005
(386) 473-7006
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
NULL
163WG0000X
General Practice Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/29/2024
Last updated
10/29/2025
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