Provider Demographics
NPI:1750010112
Name:LENHART, JUSTIN J (NP)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:J
Last Name:LENHART
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1503 BUENOS AIRES BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6825
Mailing Address - Country:US
Mailing Address - Phone:352-750-8220
Mailing Address - Fax:352-430-0468
Practice Address - Street 1:1503 BUENOS AIRES BLVD STE 110
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159-6825
Practice Address - Country:US
Practice Address - Phone:352-750-8220
Practice Address - Fax:352-430-0468
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020123363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner