NPIMap

Organization Active NPI

North Florida Medical Group, LLC

  • Urgent Care Clinic/Center
  • Lynn Haven, FL
National Provider Identifier
1154633873
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NORTH FLORIDA MEDICAL GROUP, LLC
Practice address
1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone
(850) 867-7812
Fax
(850) 747-2016
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Rodman Rhodes, ARNP
Title
President/Ceo
Phone
(850) 867-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1702 Ohio Ave
Lynn Haven, FL 32444-4290

Mailing address

1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone (850) 867-7812

Other names 1

  • Coastal Urgent Care, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Florida Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1154633873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-867-7812",
            "fax_number": "850-747-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-867-7812",
            "fax_number": "850-747-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RODMAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "850-867-7812",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Urgent Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.