Northeast Florida Health Services, Inc.

NPI #1609543503 in Pierson, Florida

Provider Information

NPI Number: 1609543503
Entity Type: Organization
Organization Name: Northeast Florida Health Services, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHEAST FLORIDA HEALTH SERVICES, INC.
Primary Specialty: Family Medicine
Enumeration Date: Aug 27, 2021
Last Updated: Aug 27, 2021

Practice Location

Address: 216 FREDERICK ST
City: Pierson
State: Florida
ZIP Code: 32180-3024
Phone: (386) 749-9449

Authorized Official

Name: REBECCA COLLIER
Title: CREDENTIALING/CONTRACTS ADMIN
Phone: (386) 202-6025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Family Medicine	207Q00000X	Primary

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