=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326615345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTH FIRST PRIMARY CARE, L.L.C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2021
-----------------------------------------------------
Last Update Date | 10/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10850 TEMPLE TER
-----------------------------------------------------
City | SEMINOLE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33772-4869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-398-5295
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8000 SW 117TH AVE STE 205
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33183-4809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-273-9100
-----------------------------------------------------
Fax | 305-273-9900
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SVP, NETWORKING AND CONTRACTING
-----------------------------------------------------
Name | DIXIE BAXLEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 813-356-9739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------