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

Mosaic Medicine, PLLC

Organization Family Nurse Practitioner · NPI 1639827033

Mosaic Medicine, PLLC is a Family Nurse Practitioner in Bradenton, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3934 E State Road 64
Bradenton, FL 34208-9059
Phone: (703) 677-1035
Fax: (941) 200-4264
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 number1639827033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Lucas — Nurse Practitioner · (941) 777-5665
NPI enumeratedMarch 15, 2022
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address3934 E State Road 64, Bradenton, FL 34208-9059

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