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NPI Code Detail

MEDICARE: FIRST NATION GROUP, LLC

MEDICARE: FIRST NATION GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174H00000XHealth Educator
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1285406074
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST NATION GROUP, LLC
Provider Business Mailing Address
First Line : 4566 E HIGHWAY 20 STE 208
Second Line :
City : NICEVILLE
State : FL
Zip : 32578-8839
Country : US
Telephone Number : 850-389-8448
Fax Number :
Provider Business Practice Location Address
First Line : 2537 CRYSTAL DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-8361
Country : US
Telephone Number : 239-308-1218
Fax Number :
Authorized Official
Title or Position : SR TAX & LICENSING SPECIALIST
Name : DANIELLE SKOWRONSKI
Credential :
Telephone Number : 850-424-6405
Provider Enumeration Date : 10/25/2023
Last Update Date : 04/09/2026

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Directions to “FIRST NATION GROUP, LLC ” Practice Location

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