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NORTHEAST FLORIDA PRIMARY CARE CLINIC NPI 1235232273


NPI Information

NPI: 1235232273
Provider Name: NORTHEAST FLORIDA PRIMARY CARE CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1835 EAST-WEST PARKWAY
SUITE 11
ORANGE PARK, FL
ZIP 32003
Phone: (904) 215-9266
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NORTHEAST FLORIDA PRIMARY CARE CLINIC is a family medicine in Orange Park, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHEAST FLORIDA PRIMARY CARE CLINIC NPI is 1235232273. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1835 EAST-WEST PARKWAY
SUITE 11
ORANGE PARK, FL
ZIP 32003
Phone: (904) 215-9266
Fax: (904) 264-4651

The provider's authorized official is Jack Edward Pulwers .
The authorized official title is President and has the following contact phone number (904) 215-9266.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME0076341FLORIDAYes
2207R00000XInternal MedicineME0068123FLORIDAX

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: 4/28/2024

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