Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Florida Health Services, Inc

Organization Family Medicine Physician · NPI 1609543503

Northeast Florida Health Services, Inc provides Family Medicine Physician services in Pierson, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

216 Frederick St
Pierson, FL 32180-3024
Phone: (386) 749-9449
Fax: (386) 749-9447
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X

Record details

NPI number1609543503
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Florida Health Services, Inc
Authorized official Rebecca Collier — Credentialing/Contracts Admin · (386) 202-6025
Other names Family Health Source
NPI enumeratedAugust 27, 2021
Last updated in NPPESAugust 27, 2021
Certification dateAugust 10, 2021
Mailing address1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464

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