Healthcare Provider Details

I. General information

NPI: 1417994518
Provider Name (Legal Business Name): NOTAMI HOSPITALS OF FLORIDA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 NW COMMERCE DR
LAKE CITY FL
32055-4709
US

IV. Provider business mailing address

340 NW COMMERCE DR
LAKE CITY FL
32055-4709
US

V. Phone/Fax

Practice location:
  • Phone: 386-719-9000
  • Fax: 386-719-7787
Mailing address:
  • Phone: 386-719-9000
  • Fax: 386-719-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MIKE WHITE
Title or Position: CFO
Credential:
Phone: 386-719-9012