| Organization Name: | NORTH FLORIDA MEDICAL GROUP, LLC |
| NPI Number: | 1154633873 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM RODMAN RHODES (PRESIDENT/CEO) |
| Mailing Address: | 1702 Ohio Ave Lynn Haven |
| State: | FL US |
| Postal Code: | 324444290 |
| Phone Number: | 8508677812 |
| Fax Number: | 8507472016 |
| NPI Enumeration Date: | 07/10/2010 |
| NPI Last Update Date: | 07/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |