Organization
NORTH FLORIDA MEDICAL CENTERS, INC
Active
Parent organization
NORTH FLORIDA MEDICAL CENTERS INC
Other names
North Florida Medical - Perry
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH FLORIDA MEDICAL CENTERS INC
Authorized official
LANE MILLER LUNN (PRESIDENT/CEO)
(850) 385-4494
Entity
Organization
Contact information
Practice address
1850 S BYRON BUTLER PKWY, PERRY, FL 32348
(850) 838-2030
(850) 838-2040
Mailing address
2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL 32308-1550
(850) 385-4494
(850) 298-6054
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692957500
—
FL
05
—
692957501
—
FL
01
—
99388
MEDICARE PART B
FL
Enumeration date
09/10/2007
Last updated
01/17/2022
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