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Old River Physician Services, LLC

Old River Physician Services, LLC is a healthcare organization registered as Internal Medicine Physician in Milton, FL, holding Type 2 (organization) NPI 1184561607 since 2026. The authorized official on file is Lisha Falk, Vice President.

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NPI 1184561607
Entity type Organization (Type 2)
Legal business name Old River Physician Services, LLC
Practice address 6002 BERRYHILL RD, Milton, FL, 32570
Phone 8506267762
Fax 8506235083
Enumeration date 2026-05-01
Last updated in NPPES 2026-05-01

Authorized official

Name Lisha Falk
Title Vice President
Phone 3376091221

Taxonomy & classification

Taxonomy code Specialty Primary License State
363L00000X Nurse Practitioner Secondary
208M00000X Hospitalist Physician Secondary
363A00000X Physician Assistant Secondary
207R00000X Internal Medicine Physician Primary
Copy-ready billing details
Provider: Old River Physician Services, LLC
NPI: 1184561607
Taxonomy: 207R00000X (Internal Medicine Physician)
Address: 6002 BERRYHILL RD, Milton, FL, 32570

Providers at this address

NPI Name Type Specialty Location
1174504492 Scott Trezza Individual Anesthesiology Physician Milton, FL
1013993534 Santa Rosa Anesthesia Associates, PA Organization Anesthesiology Physician Milton, FL
1518943034 Linna Rogers-Salter Individual Certified Registered Nurse Anesthetist Milton, FL
1992781967 Patricia Hughes Individual Certified Registered Nurse Anesthetist Milton, FL
1659357622 Sharla Seal Individual Certified Registered Nurse Anesthetist Milton, FL
1396724654 West Florida Radiology Associates PA Organization Diagnostic Radiology Physician Milton, FL
1285613547 James Barnes Individual Diagnostic Radiology Physician Milton, FL
1104805407 Patricia Hambley Individual Diagnostic Radiology Physician Milton, FL

Verify this record

Cross-check NPI 1184561607 against the authoritative CMS record: view Old River Physician Services, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Old River Physician Services, LLC?
Old River Physician Services, LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-01.