Organization
PROVIDENCE CARE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELIN LOUIS (FNP)
(321) 245-8800
Entity
Organization
Contact information
Practice address
5539 PALOMINO PLACE, APOTKA, FL 32712
(321) 245-8800
Mailing address
255 S ORANGE AVE STE 104, ORLANDO, FL 32801-3411
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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