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Mediwell Llc
Family Nurse Practitioner in Orange City, Florida
NPI 1053187179

Mediwell Llc is a Family Nurse Practitioner based in Deland, FL and is specialized in Family. Mediwell Llc practices in Orange City, FL. The NPI Number for Mediwell Llc is 1053187179 and holds a License No. (Florida).

The current practice location address for Mediwell Llc is 921 Town Center Dr, Orange City, FL and can be reached out via phone at 646-346-4709.

Location: 921 Town Center Dr, Orange City, FL, 32720-7915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053187179
Provider Name
Mediwell Llc
Credential
Provider Entity Type
Organization
Address
921 Town Center Dr, Orange City, FL, 32720-7915
Phone Number
646-346-4709
Fax Number
Provider Enumeration Date
11/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
921 Town Center Dr
City
Orange City
State
Florida
Zip
32763-8311
Phone Number
646-346-4709
Fax Number
person
Provider Business Mailing Address Details
Address
921 Town Center Dr
City
Orange City
State
Florida
Zip
32763-8311
Phone Number
646-346-4709
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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