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Park Place Medical, Llc
Family Nurse Practitioner in Orlando, Florida
NPI 1063164226

Park Place Medical, Llc is a Family Nurse Practitioner based in Orlando, FL and is specialized in Family. Park Place Medical, Llc practices in Orlando, FL. The NPI Number for Park Place Medical, Llc is 1063164226 and holds a License No. (Florida).

The current practice location address for Park Place Medical, Llc is 1800 Pembrook Dr Ste 300, Orlando, FL and can be reached out via phone at 407-712-0514.

Location: 1800 Pembrook Dr Ste 300, Orlando, FL, 32810-6378
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063164226
Provider Name
Park Place Medical, Llc
Credential
Provider Entity Type
Organization
Address
1800 Pembrook Dr Ste 300, Orlando, FL, 32810-6378
Phone Number
407-712-0514
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1800 Pembrook Dr Ste 300
City
Orlando
State
Florida
Zip
32810-6378
Phone Number
407-712-0514
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Pembrook Dr Ste 300
City
Orlando
State
Florida
Zip
32810-6378
Phone Number
407-712-0514
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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