Organization
ANDREW M. VICK APRN, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MARTIN VICK FNP (LLC OWNER-MEMBER)
(352) 396-3041
Entity
Organization
Contact information
Practice address
218 HOOVER ROAD, HOLLISTER, FL 32147
(523) 963-0413
Mailing address
218 HOOVER ROAD, PO BOX 825, HOLLISTER, FL 32147
(352) 396-3041
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
08/01/2023
Last updated
05/01/2024
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