Healthcare Provider Details

I. General information

NPI: 1477420149
Provider Name (Legal Business Name): NORTHLIGHT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7751 BELFORT PKWY STE 200
JACKSONVILLE FL
32256-6933
US

IV. Provider business mailing address

7751 BELFORT PKWY STE 200
JACKSONVILLE FL
32256-6933
US

V. Phone/Fax

Practice location:
  • Phone: 386-400-5107
  • Fax:
Mailing address:
  • Phone:
  • 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: YAIR SANCHEZ
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 386-400-5107