ROSEBERRY INTEGRATIVE CARE NPI 1992523344

NPI Information

  • NPI: 1992523344
  • Provider Name: ROSEBERRY INTEGRATIVE CARE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2318749
  • Address: 4210 VALLEY RIDGE BLVD STE 140
    PONTE VEDRA BEACH, FL
    ZIP 32081
  • Phone: (901) 800-5701

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NPI Details

ROSEBERRY INTEGRATIVE CARE is a family medicine in Ponte Vedra Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROSEBERRY INTEGRATIVE CARE NPI is 1992523344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4210 VALLEY RIDGE BLVD STE 140
PONTE VEDRA BEACH, FL
ZIP 32081-184
Phone: (901) 800-5701
Fax: (904) 839-0310

The provider's authorized official is Beverly J Roseberry .
The authorized official title is Owner and has the following contact phone number (802) 345-6261.

The CLIA number assigned to this NPI record is 10D2318749 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2024 and was last updated on 10/23/2024.

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
1207Q00000XFamily MedicineYes

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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