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

Dynamic Wellness NP LLC

Organization Primary Care Nurse Practitioner · NPI 1619848892

Dynamic Wellness NP LLC is a Primary Care Nurse Practitioner in Leesburg, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

8245 County Road 44 Leg A Ste 1
Leesburg, FL 34788-3751
Phone: (352) 204-8904
Fax: (949) 703-7406
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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 number1619848892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Clow — Provider · (352) 204-8904
NPI enumeratedSeptember 12, 2025
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address8245 County Road 44 Leg A Ste 1, Leesburg, FL 34788-3751

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