Organization
NORTHEAST FLOIDA STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. TORIBIO M. DUHAYLUNGSOD M.D. (SENIOR PHYSICIAN PSYCHIATRIST)
(904) 259-6211
Entity
Organization
Contact information
Practice address
1820 WILD GRAPE LN, ORANGE PARK, FL 32003-7204
(904) 269-2606
Mailing address
1820 WILD GRAPE LN, ORANGE PARK, FL 32003-7204
(904) 269-2606
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
ME27968
FL
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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