# JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861263147
- **Legal business name:** JOHN KNOX VILLAGE OF CENTRAL FLORIDA, INC
- **Authorized official:** MRS. NICOLE J VEGA MSN, RN, NHA (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (386) 775-3840

## Contact information

- **Practice address:** 101 NORTHLAKE DRIVE, ORANGE CITY, FL 32763-6167
- **Practice address phone:** (386) 456-1500
- **Practice address fax:** (386) 456-1550
- **Mailing address:** 101 NORTHLAKE DR, ORANGE CITY, FL 32763-6167
- **Mailing address phone:** (386) 775-3840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2024
- **Last updated:** 08/05/2025