Provider Demographics
NPI:1770689812
Name:NORTH FLORIDA HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:NORTH FLORIDA HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-748-5908
Mailing Address - Street 1:34 35TH ST STE 4-5B516
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11232-2021
Mailing Address - Country:US
Mailing Address - Phone:718-748-5908
Mailing Address - Fax:
Practice Address - Street 1:4348 SOUTHPOINT BLVD STE 320
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-8704
Practice Address - Country:US
Practice Address - Phone:904-241-1656
Practice Address - Fax:904-241-0883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991522251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299991522OtherSTATE HHC LICENSE
FL299991522OtherSTATE HHC LICENSE
FL108117Medicare Oscar/Certification