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NORTH FLORIDA MEDICAL GROUP NPI 1942516935


NPI Information

NPI: 1942516935
Provider Name: NORTH FLORIDA MEDICAL GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2012280

Address:
1702 OHIO AVE
LYNN HAVEN, FL
ZIP 32444
Phone: (850) 747-2010
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NORTH FLORIDA MEDICAL GROUP is a general practice in Lynn Haven, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NORTH FLORIDA MEDICAL GROUP NPI is 1942516935. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1702 OHIO AVE
LYNN HAVEN, FL
ZIP 32444-290
Phone: (850) 747-2010
Fax: (850) 747-2016

The provider's authorized official is Kim D Shinsky .
The authorized official title is Administrator and has the following contact phone number (850) 867-2006.

The CLIA number assigned to this NPI record is 10D2012280 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 8/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryME97726FLORIDANo
2208600000XSurgeryME95473FLORIDANo
3363L00000XNurse PractitionerARNP2800032FLORIDANo
4208D00000XGeneral PracticeME103213FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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