NORTHEAST FLOIDA STATE HOSPITAL NPI 1629185277

NPI Information

  • NPI: 1629185277
  • Provider Name: NORTHEAST FLOIDA STATE HOSPITAL
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • Address: 1820 WILD GRAPE LN
    ORANGE PARK, FL
    ZIP 32003
  • Phone: (904) 269-2606

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NPI Details

NORTHEAST FLOIDA STATE HOSPITAL is a psychiatric hospital in Orange Park, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. NORTHEAST FLOIDA STATE HOSPITAL NPI is 1629185277. The provider is registered as an organization entity type.

The provider's business location address is:

1820 WILD GRAPE LN
ORANGE PARK, FL
ZIP 32003-204
Phone: (904) 269-2606

The provider's authorized official is Toribio M. Duhaylungsod .
The authorized official title is Senior Physician Psychiatrist and has the following contact phone number (904) 259-6211.

The enumeration date for this NPI number is 8/23/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric HospitalME27968FLORIDAYes

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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