| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Gardner, Nicole Leanne ARNP,FNP | 1326 Sr 100 Grandin FL 32138-1326 | 386-659-2104 | 363LF0000X | 1164727210 |
| OTHER FL STATE : ARNP9281946 |
| Lebo, Laura Theresa ARNP | 1326 Sr 100 Grandin FL 32138 | 386-659-2104 | 363LF0000X | 1386887891 |
| Lenas, Anita ARNP, CNM FNP | 1326 State Road 100 Grandin FL 32138-0129 | 386-659-2104 | 363LF0000X | 1447225966 |
| MEDICAID FL : 302635300 || OTHER FL LICENSE NUMBER : ARNP796842 || OTHER FL BC/BS OF FLORIDA # : Y7618 |
| Segrest, Ms. M. Celeste ARNP | 1326 Sr 100 Grandin FL 32138-0129 | 386-659-2104 | 174400000X | 1760625115 |
| MEDICAID FL : 004724800 |
| Young, Ms. Constance Ann ARNP | 1326 State Rd 100 Grandin FL 32138-0129 | 386-659-2104 | 363LF0000X | 1225001415 |
| OTHER FL BC/BS NUMBER : Y088F || OTHER FL ARNP LICENSE NUMBER : 3301802 |
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