904 Health, INC
Clinic/Center, Primary Care in Yulee, FL. Organization (NPI-2).
Details
- NPI
- 1699487678
- Entity type
- Organization (NPI-2)
- Legal business name
- 904 Health, INC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2022
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 261QH0100X | Clinic/Center, Health Services | – | – |
Other names
- Manager (Other Name)
Practice location
96040 Lofton Square CtYulee, FL 32097-6347
Phone 904-659-2475 · Fax 904-453-8600
Mailing address
221 N Hogan St Ste 118Jacksonville, FL 32202-4201
Phone 904-659-2475 · Fax 904-453-8600
Other practice locations
Palm Coast, FL 32164-2425
Phone 904-900-1513 · Fax 904-575-4944
Daytona Beach, FL 32114-1230
Phone 904-900-1513 · Fax 904-575-4944
Bradenton, FL 34205-6351
Phone 904-900-1513 · Fax 904-575-4944
Sarasota, FL 34238-2717
Phone 904-900-1513 · Fax 904-575-4944
Tampa, FL 33604-4916
Phone 904-904-1513 · Fax 904-575-4944
Tampa, FL 33612-5404
Phone 904-900-1513 · Fax 904-575-4944
Brandon, FL 33511-5723
Phone 904-900-1513 · Fax 904-575-4944
Jacksonville, FL 32207-4969
Phone 904-900-1513 · Fax 904-575-4944
Orange Park, FL 32065-5908
Phone 904-900-1513 · Fax 904-575-4944
St Augustine, FL 32086-6466
Phone 904-900-1513 · Fax 904-575-4944
Authorized official
Wendy Kelly
Office Administrator
5636502158
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