Organization
NORTH FLORIDA MEDICAL CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE MILLER LUNN (PRESIDENT/CEO)
(850) 385-4494
Entity
Organization
Contact information
Practice address
305 LANG RD, FORT WALTON BEACH, FL 32547-3122
(850) 423-4603
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
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
12/10/2020
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