Provider Demographics
NPI:1215275946
Name:NORTH FLORIDA FAMILY HEALTHCARE
Entity type:Organization
Organization Name:NORTH FLORIDA FAMILY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMON-SHEFFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-867-1991
Mailing Address - Street 1:PO BOX 835
Mailing Address - Street 2:
Mailing Address - City:CHIPLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32428-0835
Mailing Address - Country:US
Mailing Address - Phone:850-372-4441
Mailing Address - Fax:850-372-4443
Practice Address - Street 1:2916 MADISON ST
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-3450
Practice Address - Country:US
Practice Address - Phone:850-372-4441
Practice Address - Fax:850-372-4443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care