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LARGO WELLNESS PRIMARY CARE
NPI 1245759596
Nurse Practitioner - Primary Care in Largo, FL

Active since September 18, 2017
415 7TH AVE SW, LARGO, FL 33770(727) 501-1040 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2018, Sep 18, 2017 (2 updates tracked since 2017).

About Largo Wellness Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARGO WELLNESS PRIMARY CARE (NPI 1245759596) is a healthcare organization registered as a primary care in Largo, Florida and active in the NPI registry since September 2017. The organization lists Mickoria Smith, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1245759596
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLARGO WELLNESS PRIMARY CARE
Location Address415 7TH AVE SWLargo, FL 33770-3400
Mailing Address415 7th Ave SwLargo, FL 33770-3400
Phone(727) 501-1040
Organization SubpartNo
Authorized OfficialMickoria SmithChief Operating Officer · (561) 420-7501
Enumeration DateSeptember 18, 2017
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
✔ NPI 1245759596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
415 7TH AVE SW, Largo, FL 33770
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Largo Wellness Primary Care's NPI number?

The NPI number for Largo Wellness Primary Care is 1245759596. It was assigned to this organization in the NPPES registry on September 18, 2017.

Where is Largo Wellness Primary Care located?

Largo Wellness Primary Care is located at 415 7th Ave SW, Largo, FL 33770. The listed phone number is (727) 501-1040.

What is Largo Wellness Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Largo Wellness Primary Care was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.