# ADDRESS HEALTHCARE OF FLORIDA PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447098934
- **Authorized official:** JEFFREY WACKSMAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (800) 488-3934

## Contact information

- **Practice address:** 6808 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
- **Practice address phone:** (800) 488-3934
- **Practice address fax:** (888) 546-0488
- **Mailing address:** 6808 CECELIA DR, NEW PORT RICHEY, FL 34653-4935
- **Mailing address phone:** (800) 488-3934
- **Mailing address fax:** (888) 546-0488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/18/2024
- **Last updated:** 07/08/2026