XTREME NATURAL BODY NPI 1376260190

NPI Information

NPI: 1376260190
Provider Name: XTREME NATURAL BODY
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 534 PARK AVE STE 6
ORANGE PARK, FL
ZIP 32073
Phone: (443) 846-9100

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NPI Details

XTREME NATURAL BODY is a primary care clinic center in Orange Park, FL. XTREME NATURAL BODY NPI is 1376260190. The provider is registered as an organization entity type.

The provider's business location address is:

534 PARK AVE STE 6
ORANGE PARK, FL
ZIP 32073-109
Phone: (443) 846-9100

The provider's authorized official is Yvonne Marie Good .
The authorized official title is Aprn / Owner and has the following contact phone number (443) 846-9100.

The enumeration date for this NPI number is 10/24/2022 and was last updated on 3/21/2023.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1316240716	MEDICAID	FLORIDA
2	9432176	OTHER	FLORIDA	LICENSE NUMBER

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: 11/21/2025

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