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Organization
HOME DOCS
Active
Organization
HOME DOCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CROKER APRN (OWNER)
(386) 473-3553
Entity
Organization
Contact information
Practice address
135 E MINNESOTA AVE, ORANGE CITY, FL 32763-2312
(386) 316-5439
(888) 509-1292
Mailing address
341 W MINNESOTA AVE, ORANGE CITY, FL 32763-2205
(386) 316-5439
(888) 509-1292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3333802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305918900
—
FL
Enumeration date
06/01/2015
Last updated
08/12/2020
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