Organization
AMAZING GRACE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY MARTINEZ FNP-BC, DNP (CEO)
(352) 339-8981
Entity
Organization
Contact information
Practice address
110 E PARK AVE, CHIEFLAND, FL 32626-0901
(352) 949-0478
(352) 752-3305
Mailing address
110 E PARK AVE, CHIEFLAND, FL 32626-0901
(352) 949-0478
(352) 754-3305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
01/06/2023
Last updated
12/17/2025
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