FOCUSED WELLNESS CLINIC LLC NPI 1033880232

NPI Information

  • NPI: 1033880232
  • Provider Name: FOCUSED WELLNESS CLINIC LLC
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 767 BLANDING BLVD STE 105
    ORANGE PARK, FL
    ZIP 32065
  • Phone: (904) 872-4245

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NPI Details

FOCUSED WELLNESS CLINIC LLC is a primary care nurse practitioner in Orange Park, FL. FOCUSED WELLNESS CLINIC LLC NPI is 1033880232. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

767 BLANDING BLVD STE 105
ORANGE PARK, FL
ZIP 32065-788
Phone: (904) 872-4245
Fax: (904) 877-3453

The provider's authorized official is Constance R Hargrove .
The authorized official title is Authorized Member and has the following contact phone number (904) 872-4245.

The enumeration date for this NPI number is 9/27/2021 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthNo
2363LG0600XNurse PractitionerGerontologyNo
3363LP2300XNurse PractitionerPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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