Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

John Knox Village of Central Florida, Inc

Organization Primary Care Nurse Practitioner · NPI 1861263147

John Knox Village of Central Florida, Inc provides Primary Care Nurse Practitioner services in Orange City, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Northlake Dr
Orange City, FL 32763-6167
Phone: (386) 456-1500
Fax: (386) 456-1550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1861263147
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJohn Knox Village of Central Florida, Inc
Authorized official Nicole Vega — Director Of Clinical Services · (386) 775-3840
NPI enumeratedJanuary 15, 2024
Last updated in NPPESAugust 5, 2025
Certification dateJanuary 29, 2024
Mailing address101 Northlake Dr, Orange City, FL 32763-6167

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