Grace Family Medicine

LBN: David C Terrell Jr Arnp, Pa
Grace Family Medicine is an health care organization with primary practice located at 4289 Nw American Lane , Lake City FL 32055. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. David C Terrell Jr Arnp, Pa can be contacted via phone (386) 288-2884, or through Terrell, David Charles via phone (386) 287-2111.

Contact Information

Primary practice address
4289 Nw American Lane Lake City FL 32055
Phone: (386) 288-2884
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Terrell, David Charles ARNP
Phone: (386) 287-2111

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1669062899
LBN Legal business name David C Terrell Jr Arnp, Pa
DBA Doing business as Grace Family Medicine
Authorized official Terrell, David Charles ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2021
Last updated Jul 16th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669062899 NPPES
Florida Other APRN9330784 FLORIDA LICENSE
Florida Other 1811411754 FLORIDA LICENSE
Florida Other 1861018988 FLORIDA LICENSE

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