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Northeast Florida Health Services, Inc.

Family Medicine Physician in Pierson, FL · enumerated 2021 · authorized official Rebecca Collier, Credentialing/Contracts Admin.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609543503

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Florida Health Services, Inc.
Parent organization Northeast Florida Health Services, Inc.
Practice address 216 Frederick St, Pierson, FL, 32180
Phone (386) 749-9449
Fax (386) 749-9447
Enumeration date Aug 27, 2021
Last updated in NPPES Aug 27, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary

Authorized official

Name Rebecca Collier
Title Credentialing/Contracts Admin
Phone (386) 202-6025

Other identifiers

Identifier Type State Issuer
687955101 Medicaid FL -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-27. Verify at npiregistry.cms.hhs.gov.
Where is Northeast Florida Health Services, Inc. located?
The practice location on file with NPPES is in Pierson, FL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-27.