Nurse Practitioner Group LLC

Contractor · Plantation, FL

Organization Active NPI

NPI number 1780121277

Practice location

12380 NW 9TH St
Plantation, FL 33325-1305
Phone
(256) 508-9034

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NPI record

NPI
1780121277
Entity type
Organization (Type 2)
Enumeration date
January 23, 2017
Last updated
July 21, 2020
Certified
July 21, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X ARNP9224482 FL
Occupational Health Nurse Practitioner 363LX0106X R185090 MD

Authorized official

Name
Stacey Santiago
Title
Owner
Phone
(256) 508-9034

Other names

  • My Mobile Primary Health Care, LLC
  • My Mobile Primary Health Care, LLC
  • The Nurse Practitioner Group LLC

About Nurse Practitioner Group LLC

Nurse Practitioner Group LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 12380 NW 9TH St, Plantation, FL 33325-1305. The NPI number 1780121277 was assigned on January 23, 2017 and the record was last updated on July 21, 2020.

Nurse Practitioner Group LLC lists 2 licenses in the registry: #ARNP9224482 (FL) for Contractor; #R185090 (MD) for Occupational Health Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Stacey Santiago, Owner.

Frequently asked questions

What is the NPI number of Nurse Practitioner Group LLC?

The NPI number is 1780121277.

What is the phone number of Nurse Practitioner Group LLC?

The phone number listed for the practice location is (256) 508-9034.

Where is Nurse Practitioner Group LLC located?

12380 NW 9TH St, Plantation, FL 33325-1305.

What is the taxonomy code for Nurse Practitioner Group LLC?

The primary taxonomy code is 171W00000X – Contractor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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