Advanced Medical Practice LLC
Nurse Practitioner, Family in Fort Pierce, FL. Organization (NPI-2).
NPI number1386142446
StatusActive
Last updated in NPPESJan 27, 2025
Details
- NPI
- 1386142446
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Medical Practice LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2018
- Certification date
- Jan 27, 2025
- Last updated
- Jan 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
100 S Cardinal PlFort Pierce, FL 34945-3482
Phone 772-370-1140
Mailing address
100 S Cardinal PlFort Pierce, FL 34945-3482
Phone 772-370-1140
Authorized official
Tracy Britcher-Speck
Arnp
7723701140
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