| North Florida Medical Centers, Inc | |
|
1850 S Byron Butler Pkwy Perry FL 32348 | |
| (850) 838-2030 | |
| (850) 838-2040 |
| Full Name | North Florida Medical Centers, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1850 S Byron Butler Pkwy, Perry, 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 1850 S Byron Butler Pkwy Perry FL 32348 Ph: (850) 838-2030 |
| NPI Number | 1255526638 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 01/17/2022 |
| Medicare PECOS PAC ID | 6103737697 |
|---|---|
| Medicare Enrollment ID | O20040102000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255526638 | NPI | - | NPPES |
| 692957500 | Medicaid | FL | |
| 692957501 | Medicaid | FL | |
| 99388 | Other | FL | MEDICARE PART B |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Patrick Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346466463 PECOS PAC ID: 9335211218 Enrollment ID: I20080709000655 |
| Provider Name | Jeffrey David Wasserman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972507556 PECOS PAC ID: 6305977125 Enrollment ID: I20100623000312 |
| Provider Name | Elaine Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780688341 PECOS PAC ID: 3577694694 Enrollment ID: I20100706000205 |
| Provider Name | Bogdan Maliszewski |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750385324 PECOS PAC ID: 2961300751 Enrollment ID: I20100901000770 |
| Provider Name | Debbi Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741551 PECOS PAC ID: 1355641135 Enrollment ID: I20151201000269 |
| Provider Name | Christian Hernandez Nazario |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184877235 PECOS PAC ID: 6901940360 Enrollment ID: I20190725002982 |
| Provider Name | Carla Janese Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345567 PECOS PAC ID: 9931430782 Enrollment ID: I20191009003167 |
| Provider Name | Jennifer Vital Whitfield |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396384582 PECOS PAC ID: 7810324720 Enrollment ID: I20200304002642 |
| Provider Name | Rita Faye Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174643233 PECOS PAC ID: 3870922545 Enrollment ID: I20200331002699 |
| Provider Name | Terri Beth Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073137816 PECOS PAC ID: 5991127219 Enrollment ID: I20200615002424 |
| Provider Name | Alicia Davis Melvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578177788 PECOS PAC ID: 5799197703 Enrollment ID: I20201216001939 |
| Provider Name | Deliana Gonzalez Torres |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1316068703 PECOS PAC ID: 5294713061 Enrollment ID: I20210517000323 |
| Provider Name | Jenifer Brickler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861999765 PECOS PAC ID: 3375969751 Enrollment ID: I20220922001349 |
| Provider Name | Kelly L Dees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376269878 PECOS PAC ID: 5092182246 Enrollment ID: I20221101002833 |
| Provider Name | Elizabeth Ann Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114159894 PECOS PAC ID: 8426409483 Enrollment ID: I20240104000987 |
| Provider Name | Deshala Teshanne Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356886196 PECOS PAC ID: 8921541772 Enrollment ID: I20240620003487 |
| Provider Name | Terri Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114797552 PECOS PAC ID: 4789128224 Enrollment ID: I20240626000761 |
| Provider Name | Megan S Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508545088 PECOS PAC ID: 8729509328 Enrollment ID: I20250312001399 |
| Provider Name | Andrea Zaandam |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144910860 PECOS PAC ID: 1658893599 Enrollment ID: I20250319004385 |
| Provider Name | Takira Randolph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316419369 PECOS PAC ID: 8628594611 Enrollment ID: I20250502001584 |
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Perry Chiropractic Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 N Orange St, Perry, FL 32347 Phone: 850-584-7117 Fax: 850-584-7119 | |
Diane A Schlick Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 S Jefferson St, Perry, FL 32347 Phone: 850-584-5876 Fax: 850-584-4939 | |
Doctors Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 S Jefferson St, Perry, FL 32348 Phone: 850-838-2121 Fax: 850-838-1842 | |
Gainesville Vamc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1224 N Peacock Ave, Perry, FL 32347 Phone: 866-793-4591 |