904 HEALTH, INC is a primary care clinic center in Yulee, FL. 904 HEALTH, INC NPI is 1699487678. The provider is registered as an organization entity type and is a multi-specialty group. The provider .
The provider's business location address is:
96040 LOFTON SQUARE CT YULEE, FL ZIP 32097-347 Phone: (904) 659-2475 Fax: (904) 453-8600
The provider's authorized official is Wendy Kelly . The authorized official title is Office Administrator and has the following contact phone number (563) 650-2158.
The CLIA number assigned to this NPI record is 10D2270826 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/21/2022 and was last updated on 4/9/2025.
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:
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
NPI Synchronization or Removal
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