Healthcare Provider Details

I. General information

NPI: 1831020981
Provider Name (Legal Business Name): NORTH FLORIDA REGIONAL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 NW 40TH TER STE B
GAINESVILLE FL
32605-3500
US

IV. Provider business mailing address

2205 NW 40TH TER STE B
GAINESVILLE FL
32605-3500
US

V. Phone/Fax

Practice location:
  • Phone: 352-375-1999
  • Fax:
Mailing address:
  • Phone: 352-375-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTY REDD-HACHEY
Title or Position: CFO
Credential:
Phone: 352-333-4017