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Organization
PRIMARY CARE OF ORANGE CITY LLC
Active
Organization
PRIMARY CARE OF ORANGE CITY LLC
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) 241-0274
(386) 241-0275
Mailing address
341 W MINNESOTA AVE, ORANGE CITY, FL 32763-2205
(386) 473-3553
(888) 509-1292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARNP3333802
FL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/19/2017
Last updated
08/12/2020
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