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Organization
PRIMARY CARE OF ORANGE CITY LLC
Active
Organization
PRIMARY CARE OF ORANGE CITY LLC
Active
Parent organization
PRIMARY CARE OF ORANGE CITY LLC
Other names
Home Wound Care Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE OF ORANGE CITY LLC
Authorized official
JOHN CROKER APRN (CEO)
(386) 473-3553
Entity
Organization
Contact information
Practice address
135 E MINNESOTA AVE, ORANGE CITY, FL 32763-2312
(386) 316-5439
Mailing address
341 W MINNESOTA AVE, ORANGE CITY, FL 32763-2205
(386) 316-5439
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
06/29/2022
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