NAVARRE PRIMARY CARE LLC NPI 1457043051

NPI Information

  • NPI: 1457043051
  • Provider Name: NAVARRE PRIMARY CARE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 10D2287738
  • Address: 1772 SEA LARK LN
    NAVARRE, FL
    ZIP 32566
  • Phone: (850) 313-1323

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NPI Details

NAVARRE PRIMARY CARE LLC is a family nurse practitioner in Navarre, FL. NAVARRE PRIMARY CARE LLC NPI is 1457043051. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1772 SEA LARK LN
NAVARRE, FL
ZIP 32566-472
Phone: (850) 313-1323

The provider's authorized official is Sherrie Melissa Koenigseder .
The authorized official title is Manager and has the following contact phone number (850) 313-1323.

The CLIA number assigned to this NPI record is 10D2287738 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2023 and was last updated on 10/16/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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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