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

Old River Physician Services, LLC

Organization Internal Medicine Physician · NPI 1184561607

Old River Physician Services, LLC is an Internal Medicine Physician in Milton, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6002 Berryhill Rd
Milton, FL 32570-5062
Phone: (850) 626-7762
Fax: (850) 623-5083
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Hospitalist Physician Taxonomy 208M00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1184561607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vice President · (337) 609-1221
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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