Northeast Florida State Hospital

NPI #1932202322 in Macclenny, Florida

Provider Information

NPI Number: 1932202322
Entity Type: Organization
Organization Name: Northeast Florida State Hospital
Primary Specialty: Psychiatry & Neurology - Geriatric Psychiatry
Enumeration Date: Sep 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7487 S STATE ROAD 121
City: Macclenny
State: Florida
ZIP Code: 32063-5451
Phone: (904) 259-6211

Authorized Official

Name: DR. OLGA INES ARIAS, D.O.
Title: SENIOR PHYSICIAN
Phone: (904) 259-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry	2084P0805X	Primary

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