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

Amelia Island Senior Wellness LLC

Organization Family Nurse Practitioner · NPI 1639990831

Amelia Island Senior Wellness LLC is a Family Nurse Practitioner in Fernandina Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

2782 Park Square Pl E
Fernandina Beach, FL 32034-8933
Phone: (804) 543-3724
Fax: (904) 601-1495
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1639990831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Gruber — Owner · (804) 543-3724
NPI enumeratedOctober 21, 2024
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024
Mailing address2782 Park Square Pl E, Fernandina Beach, FL 32034-8933

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