Organization
HONESTLY ADVANCING PRACTICE LLC
Active
Other names
FREEPORT PRIMARY & IMMEDIATE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY WILSON (OFFICE MANAGER)
(850) 865-6801
Entity
Organization
Contact information
Practice address
902 HIGHWAY 20 E STE 108, FREEPORT, FL 32439-3912
(850) 332-2589
(850) 807-5145
Mailing address
902 HIGHWAY 20 E STE 108, FREEPORT, FL 32439-3912
(850) 332-2589
(850) 807-5145
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215184643
NPI
FL
01
—
1871117242
NPI
FL
Enumeration date
10/13/2022
Last updated
12/19/2022
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