| North Florida Medical Centers, Inc. | |
|
710 W Main St Mayo FL 32066-4127 | |
| (386) 294-1446 | |
| (386) 294-4218 |
| Full Name | North Florida Medical Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 W Main St, Mayo, Florida |
| Authorized Official Name and Position | Lane Miller Lunn (PRESIDENT/CEO) |
| Authorized Official Contact | 8503854494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Medical Centers, Inc. 2804 Remington Green Cir Ste 2 Tallahassee FL 32308-1550 Ph: (850) 385-4494 | North Florida Medical Centers, Inc. 710 W Main St Mayo FL 32066-4127 Ph: (386) 294-1446 |
| NPI Number | 1235133745 |
|---|---|
| Provider Enumeration Date | 06/13/2005 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 6103737697 |
|---|---|
| Medicare Enrollment ID | O20100827000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235133745 | NPI | - | NPPES |
| 029568009 | Medicaid | FL | |
| 029568029 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 00000 (Florida) | Primary |
Doctors Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 113 E Main St, Mayo, FL 32066 Phone: 386-294-2475 Fax: 386-294-2478 |