Organization · Type 2 NPI

Northeast Florida Health Services, Inc.

Family Medicine Physician · Pierson, FL

NPI number 1609543503 Active

Practice location

216 Frederick St
Pierson, FL 32180-3024

Call (386) 749-9449 Map

Fax (386) 749-9447

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Federally Qualified Health Center (FQHC)	261QF0400X	None listed

Family Medicine Physician: 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.

6 other providers at this address

NPI record

NPI: 1609543503
Entity type: Organization (Type 2)
Issued: Aug 27, 2021
Last updated: Aug 27, 2021
Status: Active
Subpart: Yes of Northeast Florida Health Services, Inc.

Other names

Family Health Source · doing business as

Authorized official

Rebecca Collier
Credentialing/contracts Admin
(386) 202-6025

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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 1609543503

Northeast Florida Health Services, Inc.'s National Provider Identifier is 1609543503, issued on Aug 27, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pierson, FL. The record was last updated on Aug 27, 2021.