NORTH FLORIDA MEDICAL CENTERS INC (NPI# 1235133745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235133745 |
| Entity Type | Organization |
| Organization Name | NORTH FLORIDA MEDICAL CENTERS INC |
| Practice Address |
710 W Main St Mayo FL 32066-4127 |
| Mailing Address |
2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 |
| Practice Telephone | 3862941446 |
| Practice Fax Number | 3862944218 |
| Mailing Telephone | 8503854494 |
| Mailing Fax Number | 8502986054 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-01-09 |
| Authorized Official Name | LANE MILLER LUNN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8503854494 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH FLORIDA MEDICAL CENTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
00000 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029568009 | 05 | |
| FL | 029568029 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254958 | North Florida Medical Centers Inc | Clinic/Center | 1328 Coastal Hwy, Panacea, FL 32346-2151 | 2005-06-13 |
| 1538163043 | North Florida Medical Centers Inc | Clinic/Center | 158 Us Highway 98, Eastpoint, FL 32328-3304 | 2005-06-13 |
| 1598769192 | North Florida Medical Centers Inc | Clinic/Center | 255 W River Rd, Wewahitchka, FL 32465-4533 | 2005-06-10 |
| 1144637109 | North Florida Medical Centers Inc | Clinic/Center | 235 Sw Dade St, Suite A, Madison, FL 32340-2363 | 2014-07-22 |
| 1194908954 | North Florida Medical Centers Inc | Clinic/Center | 800 Hospital Dr, Crestview, FL 32539-7385 | 2007-12-14 |
| 1255526638 | North Florida Medical Centers Inc | Clinic/Center | 616 S Jefferson St, Perry, FL 32347-4115 | 2007-09-10 |
| 1356345862 | North Florida Medical Centers Inc | Clinic/Center | 1249 Strong Road, Quincy, FL 32351 | 2005-06-13 |
| 1053315564 | North Florida Medical Centers Inc | Clinic/Center | 412 Sw 351 Hwy, Cross City, FL 32628-0740 | 2005-06-13 |
| Street Address |
710 W MAIN ST |
| City | MAYO |
| State | FL |
| Zip Code | 32066-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385324 | Bogdan F Maliszewski | Internal Medicine | 710 W Main St, Mayo, FL 32066-4127 | 2005-06-10 |
| 1659741551 | Debbi Roessler Rye | Nurse Practitioner | 710 W Main St, Mayo, FL 32066-4127 | 2015-10-05 |
| 1962658492 | Robert A Mathews | Pediatrics | 710 W Main St, Mayo, FL 32066-4127 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358199 | Deep Knead Medspa | Massage Therapist | 117 Nw Monroe Ave, Mayo, FL 32066 | 2013-02-26 |
| 1710233770 | Kristen Hurst | Massage Therapist | 136 North Fletcher Avenue, Mayo, FL 32066 | 2012-07-27 |
| 1942406475 | County of Lafayette Office Clerk Board County Commissioners | Ambulance | 136 S.e. Industrial Avenue, Mayo, FL 32066 | 2007-06-22 |
| 1104041904 | Darcy Regina Sawyers | Massage Therapist | 117 Nw Monroe Ave., Mayo, FL 32066 | 2007-04-16 |
| 1275697526 | Lafayette County School Board | Local Education Agency (LEA) | 386 Ne Crawford St, Mayo, FL 32066 | 2006-12-21 |
| 1487674271 | North Florida Pharmacy of Mayo, Inc | Durable Medical Equipment & Medical Supplies | 229 West Main Street/ Box 1510, Mayo, FL 32066 | 2006-07-21 |
| 1538187539 | Mayo Family Pharmacy, Inc. | Pharmacy | 294 W Main St, Suite 1, Mayo, FL 32066 | 2006-07-17 |
| 1972872315 | Chelsea Mcadams | Massage Therapist | 117 Nw Monroe Ave., Mayo, FL 32066 | 2011-12-14 |
| 1649477670 | Vicky Noling | Pharmacist | 229 W Main St, Mayo, FL 32066 | 2007-07-02 |
| 1962569533 | Lafayette County School Board | Local Education Agency (LEA) | 386 Ne Crawford St, Mayo, FL 32066 | 2007-01-03 |
| Find all providers in zip 32066 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326132 | Foundcare Inc | Clinic/Center | 5867 Okeechobee Blvd, West Palm Beach, FL 33417-4344 | 2020-11-05 |
| 1720686355 | Mcr Health, Inc. | Clinic/Center | 170 N Lime Ave, Sarasota, FL 34237-6122 | 2020-10-15 |
| 1306452438 | Jessie Trice Community Health System Inc | Clinic/Center | 5361 Nw 22nd Ave # M1, Miami, FL 33142-8035 | 2020-09-23 |
| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTH FLORIDA MEDICAL CENTERS INC.
| 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.