Healthcare Provider Details

I. General information

NPI: 1871456012
Provider Name (Legal Business Name): NORTH FLORIDA REGIONAL MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4094 SW 41ST BLVD
GAINESVILLE FL
32608-5396
US

IV. Provider business mailing address

4094 SW 41ST BLVD
GAINESVILLE FL
32608-5396
US

V. Phone/Fax

Practice location:
  • Phone: 352-300-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

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