NORTH FLORIDA PRIMARY CARE PLLC NPI 1760093702

NPI Information

  • NPI: 1760093702
  • Provider Name: NORTH FLORIDA PRIMARY CARE PLLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 10D2200577
  • Address: 4243 SW CAMBRIDGE GLN
    LAKE CITY, FL
    ZIP 32024
  • Phone: (386) 292-7744

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NPI Details

NORTH FLORIDA PRIMARY CARE PLLC is an internal medicine in Lake City, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NORTH FLORIDA PRIMARY CARE PLLC NPI is 1760093702. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4243 SW CAMBRIDGE GLN
LAKE CITY, FL
ZIP 32024-431
Phone: (386) 292-7744
Fax: (386) 719-7096

The provider's authorized official is Michael C Ukaegbu .
The authorized official title is Owner and has the following contact phone number (386) 697-4973.

The CLIA number assigned to this NPI record is 10D2200577 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2020 and was last updated on 10/6/2025.

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
1207R00000XInternal MedicineYes

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
1010767000MEDICAIDFLORIDA

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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