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

John Knox Village of Central Florida, Inc

Organization Primary Care Nurse Practitioner · NPI 1861263147

John Knox Village of Central Florida, Inc is a Primary Care Nurse Practitioner 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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