Organization Name: | NORTH FLORIDA MEDICAL CENTERS, INC |
NPI Number: | 1548662570 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL MONTGOMERY (PRESIDENT/CEO) |
Mailing Address: | 50 Holly Ave Shalimar |
State: | FL US |
Postal Code: | 325791173 |
Phone Number: | 8504234603 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2014 |
NPI Last Update Date: | 09/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |