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General NPI Number Information
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NPI Number | 1144637109
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA MEDICAL CENTERS INC
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 469 W BASE ST
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City | MADISON
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State | FL
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Zip | 32340-2064
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Country | US
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Telephone | 850-973-1402
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Fax | 850-973-1450
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Provider Business Mailing Address
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Address Line | 2804 REMINGTON GREEN CIR STE 2
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City | TALLAHASSEE
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State | FL
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Zip | 32308-1550
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Country | US
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Telephone | 850-385-4494
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Fax | 850-298-6054
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LANE MILLER LUNN
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Credential |
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Telephone | 850-385-4494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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