Healthcare Provider Details

I. General information

NPI: 1912103342
Provider Name (Legal Business Name): NORTH FLORIDA HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 PARK AVE
ORANGE PARK FL
32073-4152
US

IV. Provider business mailing address

1218 PARK AVE
ORANGE PARK FL
32073-4152
US

V. Phone/Fax

Practice location:
  • Phone: 904-269-2437
  • Fax: 904-264-2497
Mailing address:
  • Phone: 904-269-2437
  • Fax: 904-264-2497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME20418
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7315
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH2893
License Number StateFL

VIII. Authorized Official

Name: DR. STEVEN WARFIELD
Title or Position: OWNER
Credential: DC
Phone: 904-269-2437