# MD2U FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MD2U MANAGEMENT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235422775
- **Legal business name:** MD2U MANAGEMENT LLC
- **Authorized official:** GREGORY D. LATTA (CFO/CIO)
- **Authorized official phone:** (502) 416-1851

## Contact information

- **Practice address:** 10151 DEERWOOD PARK BLVD, 200-250, JACKSONVILLE, FL 32256-0566
- **Practice address phone:** (502) 327-9100
- **Practice address fax:** (502) 742-3767
- **Mailing address:** PO BOX 7219, LOUISVILLE, KY 40257-0219
- **Mailing address phone:** (502) 416-1851
- **Mailing address fax:** (502) 416-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2011
- **Last updated:** 09/25/2012