904 Health, INC

NPI #1699487678 in Yulee, Florida

Provider Information

NPI Number: 1699487678
Entity Type: Organization
Organization Name: 904 Health, INC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Dec 21, 2022
Last Updated: Apr 9, 2025

Practice Location

Address: 96040 LOFTON SQUARE CT
City: Yulee
State: Florida
ZIP Code: 32097-6347
Phone: (904) 659-2475

Authorized Official

Name: WENDY KELLY
Title: OFFICE ADMINISTRATOR
Phone: (563) 650-2158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Infectious Disease — Infectious Disease	207RI0200X
Public Health or Welfare	251K00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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