NORTHEAST FLORIDA HEALTH SERVICES INC. NPI 1396282208

NPI Information

NORTHEAST FLORIDA HEALTH SERVICES, INC. is a federally qualified health center (fqhc) clinic center in South Daytona, FL. NORTHEAST FLORIDA HEALTH SERVICES, INC. NPI is 1396282208. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health Source.

The provider's business location address is:

801 BEVILLE RD STE 101&102
SOUTH DAYTONA, FL
ZIP 32119-860
Phone: (386) 267-6214

The provider's authorized official is Rebecca Collier .
The authorized official title is Credentialing Coordinator and has the following contact phone number (386) 202-6025.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 8/10/2021.

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:

Other Identifiers

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