Overview
Name: NORTHEAST FLORIDA HEALTH SERVICES, INC.
Specialty: Federally Qualified Health Center (FQHC)
Type of Practice: Organization
Provider/Org: NORTHEAST FLORIDA HEALTH SERVICES, INC.
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities
Classification: Clinic/Center
Specialization: Federally Qualified Health Center (FQHC).
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: NORTHEAST FLORIDA HEALTH SERVICES, INC.,801 BEVILLE RD STE 101&102,SOUTH DAYTONA,FL,321191860,US
Mailing Address: NORTHEAST FLORIDA HEALTH SERVICES, INC.,1205 S WOODLAND BLVD STE 3,DELAND,FL,327207464,US
Contact #
Practice location phone #: 3862676214
Practice location fax #: 3869990414
Mailing address Phone #: 3862026025
Mailing Address fax #:
Authorized official Name/Telephone #:REBECCA, COLLIER, CREDENTIALING AND CONTRACTS ADMIN 3862026025
Misc
Date NPI was obtained: 08/27/2021
Last data data was updated: 08/27/2021
Insurances: