Organization

North Florida Medical Centers, Inc.

May also be knows as Family Medical Center

Federally Qualified Health Center (FQHC) in Cross City, FL(View on Map)

Legal Business Name

North Florida Medical Centers, Inc.

Also Known As

Family Medical Center

NPI Number

1053315564

NPI Type

Organization

Enumeration Date

06/13/2005

Specialties

(Taxonomies)

Code

261QF0400X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

2005-0196

Contact
Information

Purpose

Mailing
Location

Address

2804 REMINGTON GREEN CIR STE 2
412 SW 351 HWY

City

Tallahassee
Cross City

State

FL
FL

Postal Code

32308-1550
32628-0740

Country

US
US

Telephone Number

(850) 385-4494
(352) 498-3349

Authorized Official

Name

Lane Lunn

Title or Position

PRESIDENT/CEO

Telephone Number

(850) 385-4494

Identifiers

Identifier

99388
CE1606
029568012
029568032

Identifier State

FL
FL
FL
FL

Identifier Issuer

MEDICARE PART B, GROUP PTAN
RAILROAD MEDICARE
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/10/2020

Provider Address

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