NORTH FLORIDA RECEPTION CENTER (NPI# 1083809883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083809883 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA RECEPTION CENTER |
| Other Organization Name | NORTH FLORIDA RECEPTION CENTER |
| Practice Address |
7765 S County Road 231 Dept of Corrections Lake Butler FL 32054-5721 |
| Mailing Address |
Po Box 628 Lake Butler FL 32054-0628 |
| Practice Telephone | 3864966532 |
| Practice Fax Number | 3864966081 |
| Mailing Telephone | 3864966532 |
| Mailing Fax Number | 3864966081 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | SUSAN MOULDER (PHARMACY MANAGER) |
| Authorized Official Telephone | 3864966534 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PH2387 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2005010 | 01 |
| Other Name | Type Code |
|---|---|
| NORTH FLORIDA RECEPTION CENTER | Doing Business As Name - Organization |
| Street Address |
7765 S COUNTY ROAD 231 DEPT OF CORRECTIONS |
| City | LAKE BUTLER |
| State | FL |
| Zip Code | 32054-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564781 | Jeffery David Render | Dentist | 7765 S County Road 231, Reception / Medical Center, Lake Butler, FL 32054-5721 | 2006-01-30 |
| 1295342798 | Karl Hudson Dupont | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2020-09-28 |
| 1891306213 | Mykhue Ashley Nguyen-tran | Dentist | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2020-08-10 |
| 1952960015 | Kevin Nantz | Registered Nurse | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2019-06-11 |
| 1043798697 | Reina Michele Brown | Registered Nurse | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-08-04 |
| 1992203566 | Lisa A. Frazer | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2018-01-29 |
| 1013427954 | Farida Kazvinova | General Practice | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2017-10-05 |
| 1043671241 | Cccnf - Lake Butler, LLC | Radiology | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2016-03-15 |
| 1457771016 | Gerry Surrency | Nurse Practitioner | 7765 S County Road 231, Lake Butler, FL 32054-5721 | 2014-04-22 |
| 1215351606 | Pablo Manaronsong Lomangcolob Jr. | Clinical Medical Laboratory | 7765 S County Road 231, Lake Butler, FL 32054-0628 | 2014-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740627892 | Nalini Anandjiwala | General Practice | 7765 County Rd 231, Lake Butler, FL 32054 | 2013-05-30 |
| 1356690721 | Cheryl Anderson | Nurse Practitioner | 850 East Main Street, Lake Butler, FL 32054 | 2012-08-31 |
| 1891007860 | Lisa Cunningham | Speech-Language Pathologist | 6398 South West State Road 121, Lake Butler, FL 32054 | 2010-07-07 |
| 1609374131 | Michele Lewis | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2018-01-30 |
| 1144756735 | Kateena James | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2017-05-03 |
| 1710380373 | Ashley C Nelson | Counselor | 10 W Main St, Lake Butler, FL 32054 | 2014-09-26 |
| 1073954046 | Can Trong Tran | General Practice | 7765 County Rd 231, Rmc, Lake Butler, FL 32054 | 2013-07-08 |
| 1013972272 | Medlink Management Services Inc | General Acute Care Hospital | 850 E Main St, Lake Butler, FL 32054 | 2006-04-19 |
| 1922105360 | Waldemar Ricardo Riefkohl | Dentist | Reception and Medical Center, Hwy 231, Lake Butler, FL 32054-0628 | 2006-09-20 |
| 1740653708 | Union Speech Solutions, LLC | Speech-Language Pathologist | 495 Ne 3rd St, Lake Butler, FL 32054-1209 | 2015-11-12 |
| Find all providers in zip 32054 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326462946 | Generic Specialties Inc | Pharmacy | 1701 Acme St, Orlando, FL 32805-3603 | 2014-02-18 |
| 1336464072 | Harbour Island Specialty Pharmacy | Pharmacy | 12615 Race Track Rd, Tampa, FL 33626-1331 | 2010-04-06 |
| 1952510810 | St of Fl Desoto Juvenile Correctional Facility Pharmacy | Pharmacy | 5871 Se Highway 31, Arcadia, FL 34266-7679 | 2007-05-21 |
| 1275656852 | Seniorcare Community Pharmacy | Pharmacy | 8410 Marble St, Tampa, FL 33615-1493 | 2007-04-09 |
| 1295811032 | A.g. Holley State Hospital | Pharmacy | 1199 Lantana Rd, Lantana, FL 33462-1514 | 2006-10-27 |
| 1255870127 | Benak Incorporated | Pharmacy | 3209 N 22nd St, Tampa, FL 33605-1937 | 2017-02-13 |
| 1023488202 | Lehigh Regional Medical Center | Pharmacy | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-01 |
| 1295154185 | Putnam Community Medical Center LLC | Pharmacy | 611 Zeagler Dr, Palatka, FL 32177-3810 | 2014-04-08 |
| 1285946350 | Sp Behavioral LLC | Pharmacy | 11301 Se Tequesta Ter, Tequesta, FL 33469-8146 | 2010-07-06 |
| 1306005186 | Accardi Clinical Services Inc | Pharmacy | 2583 S Volusia Ave, Ste 100, Orange City, FL 32763-9129 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BUTLER |
| Zip Code | 32054 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.