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Dynamic Primary Healthcare Clinic

Family Medicine Physician in Lake City, FL · enumerated 2022 · authorized official John Distefano, Business Manager.

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

National Provider Identifier

1710633144

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Registry record

Entity type Organization (Type 2)
Legal business name Dynamic Primary Healthcare Clinic
Practice address 163 Sw Stonegate Ter Ste 109, Lake City, FL, 32024
Phone (330) 323-8976
Enumeration date Feb 24, 2022
Last updated in NPPES Mar 18, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name John Distefano
Title Business Manager
Phone (352) 317-3214

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

What is the NPI number for Dynamic Primary Healthcare Clinic?
The NPI for Dynamic Primary Healthcare Clinic is 1710633144, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dynamic Primary Healthcare Clinic?
NPPES lists John Distefano (Business Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-18.