Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deep Roots Healthcare LLC

Organization Family Nurse Practitioner · NPI 1982558078

Deep Roots Healthcare LLC provides Family Nurse Practitioner services in Atlantic Beach, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

431 Selva Lakes Cir
Atlantic Beach, FL 32233-4355
Phone: (904) 290-3234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1982558078
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Cobb — Owner · (904) 535-6101
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address1015 Atlantic Blvd Ste 404, Atlantic Beach, FL 32233-3313

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