Florida Elder Care & Wellness LLC
Nurse Practitioner in Clewiston, FL. Organization (NPI-2).
NPI number1104553643
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1104553643
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Elder Care & Wellness LLC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2022
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1200 Pinewood StClewiston, FL 33440-5117
Phone 863-228-6723
Mailing address
1200 Pinewood StClewiston, FL 33440-5117
Authorized official
Susan Conley
Provider/Owner
8632286723
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse Practitioner providers in Clewiston, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.