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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHEAST FLORIDA STATE HOSPITAL

Active Organization

NORTHEAST FLORIDA STATE HOSPITAL is a Geriatric Psychiatry organization located in MACCLENNY, Florida. NPI 1932202322 is currently active in the NPPES registry. Verify at CMS.

Geriatric Psychiatry · MACCLENNY, FL

Registration Details

NPI Number
1932202322
Provider Type
Organization
NPI Issued
Sep 7, 2006 (19.968886823153 yrs)
Last Updated
Aug 22, 2020
License
OS 7547 (FL)

Practice Information

Address
7487 S STATE ROAD 121
MACCLENNY, FL, 320635451
Browse FL providers · Browse ZIP 32063
Phone
9042596211
Fax
9042597104
Primary Specialty
Geriatric Psychiatry
2084P0805X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.