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Organization
JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Active
Organization
JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Active
Parent organization
JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
Authorized official
MRS. NICOLE J VEGA MSN, RN, NHA (DIRECTOR OF CLINICAL SERVICES)
(386) 775-3840
Entity
Organization
Contact information
Practice address
101 NORTHLAKE DRIVE, ORANGE CITY, FL 32763-6167
(386) 456-1500
(386) 456-1550
Mailing address
101 NORTHLAKE DR, ORANGE CITY, FL 32763-6167
(386) 775-3840
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
08/05/2025
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