Northeast Florida Health Services, Inc.
LBN: Northeast Florida Health Services, Inc.
Northeast Florida Health Services, Inc. is an health care organization with primary practice located at 1205 S Woodland Blvd Ste 4 , Deland FL 32720-7464. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Northeast Florida Health Services, Inc. can be contacted via phone (386) 202-6025, or through Asbury, Laurie via phone (386) 202-6025.
Contact Information
Primary practice address
1205 S Woodland Blvd Ste 4
Deland FL 32720-7464
Phone: (386) 202-6025
Fax: (386) 202-1755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1144995317 |
|---|---|
| LBN Legal business name | Northeast Florida Health Services, Inc. |
| DBA Doing business as | |
| Authorized official | Asbury, Laurie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 10th, 2021 |
| Last updated | Aug 10th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144995317 | NPPES |
| Florida | MEDICAID | 687955118 |
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