Organization · Type 2 NPI

Northeast Florida Health Services, Inc.

Federally Qualified Health Center (FQHC) · Deland, FL

NPI number 1467907626 Active

Practice location

1205 S Woodland Blvd Ste 3
Deland, FL 32720-7464

Call (386) 202-6025 Map

Fax (386) 202-1755

Mailing address

1205 S Woodland Blvd Ste 7
Deland, FL 32720-7466

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Deland

Northeast Florida Health Services, Inc.Federally Qualified Health Center (FQHC) Deland, FL NPI 1144995317

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NPI record

NPI: 1467907626
Entity type: Organization (Type 2)
Issued: Aug 17, 2016
Last updated: Aug 10, 2021
Status: Active
Subpart: Yes of Northeast Florida Health Services, Inc.

Other names

<unavail>
Family Health Source · doing business as

Authorized official

Rebecca Collier
Credentialing Specialist
(386) 202-6025

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467907626

Northeast Florida Health Services, Inc.'s National Provider Identifier is 1467907626, issued on Aug 17, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Deland, FL. The record was last updated on Aug 10, 2021.