LARGO WELLNESS PRIMARY CARE NPI 1245759596

NPI Information

  • NPI: 1245759596
  • Provider Name: LARGO WELLNESS PRIMARY CARE
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 415 7TH AVE SW
    LARGO, FL
    ZIP 33770
  • Phone: (727) 501-1040

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NPI Details

LARGO WELLNESS PRIMARY CARE is a primary care nurse practitioner in Largo, FL. LARGO WELLNESS PRIMARY CARE NPI is 1245759596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

415 7TH AVE SW
LARGO, FL
ZIP 33770-400
Phone: (727) 501-1040

The provider's authorized official is Mickoria Smith .
The authorized official title is Chief Operating Officer and has the following contact phone number (561) 420-7501.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 9/26/2018.

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
1363LP2300XNurse 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: 3/30/2025

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