DYNAMIC HEALTH CENTERS (NPI# 1508181272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508181272 |
| Entity Type | Organization |
| Organization Name | DYNAMIC HEALTH CENTERS |
| Practice Address |
163 Sw Stonegate Ter Ste 109 Lake City FL 32024-3459 |
| Mailing Address |
10348 Sw 32nd Ave Gainesville FL 32608-9096 |
| Practice Telephone | 3864388391 |
| Mailing Telephone | 3525055346 |
| Mailing Fax Number | 3525053680 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | MR. JOHN E DISTEFANO (PRESIDENT) |
| Authorized Official Telephone | 3525055346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | HCC8936 | FL | Allopathic & Osteopathic Physicians |
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
HCC8936 | FL | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006309100 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2806 W Us Highway 90, Suite 102, Lake City, FL 320554745 | 3864388391 |
| Street Address |
163 SW STONEGATE TER STE 109 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32024-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439888 | Advanced Preventative Health | Medical Genetics | 163 Sw Stonegate Ter Ste 109, Lake City, FL 32024-3459 | 2018-05-31 |
| 1417239914 | Catherine Rose Brown | Nurse Practitioner | 163 Sw Stonegate Ter Ste 109, Lake City, FL 32024-3459 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083170534 | Sf Brevard, LLC | Skilled Nursing Facility | 298 Sw Prosperity Place, Lake City, FL 32024 | 2019-02-20 |
| 1689103079 | Vivian Robinson | Driver | 133 Sw Maereatha Ct, Lake City, FL 32024 | 2017-06-08 |
| 1508014630 | Stephen Lewis O'steen | Physical Therapy Assistant | 146 Sw Orthopaedic Court, Lake City, FL 32024 | 2008-09-03 |
| 1598965634 | Lake City Surgery Center, LLC | Clinic/Center | 208 Sw Prosperity Place, Lake City, FL 32024 | 2007-07-18 |
| 1932308145 | Smile Designs By Charlotte Gerry | Dentist | 857 Sw Main Blvd, Suite 105, Lake City, FL 32024 | 2007-07-17 |
| 1790900447 | Leopold Bejamin Leblique | General Practice | 264 Sw Ridgeview Pl., Lake City, FL 32024 | 2007-04-16 |
| 1073785911 | Rescare, Inc. | Intermediate Care Facility, Mentally Retarded | 1403 Spring St, Lake City, FL 32024 | 2008-04-01 |
| 1124202502 | Christina Mcghghy | Physical Therapy Assistant | 289 Sw Stonegate Terr, Suite #101, Lake City, FL 32024 | 2007-12-21 |
| 1629682133 | Paula Carol Palmer | Registered Nurse | 3857 Sw Birley Ave, Lake City, FL 32024-0003 | 2020-09-02 |
| 1831635176 | Patricia Vance | Chore Provider | 2238 Sw Salem Rd, Lake City, FL 32024-0029 | 2017-01-10 |
| Find all providers in zip 32024 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396969002 | Lake City Family Medicine LLC | Clinic/Center | 901 N. Matthews Rd., Lake City, SC 29560 | 2007-04-12 |
| 1316953649 | Lower Florence County Hosptial | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-07-31 |
| 1497754154 | Andres R Villar Md | Clinic/Center | 789 W Duval St, Lake City, FL 32055-3811 | 2005-07-15 |
| 1457950222 | Medical University Hospital Authority | Clinic/Center | 148 Sauls St Ste E, Lake City, SC 29560-2677 | 2020-10-22 |
| 1114246584 | East Main Medical Services, LLC | Clinic/Center | 238 E Main St, Lake City, SC 29560-2114 | 2010-05-25 |
| 1477785095 | Enrique Technologies Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2009-08-14 |
| 1144467960 | Lake City Family Medicine LLC | Clinic/Center | 901 N Matthews Rd, Lake City, SC 29560-7024 | 2009-01-15 |
| 1215157334 | Carolinas Medical Alliance, Inc | Clinic/Center | 101 John St, Lake City, SC 29560-2411 | 2007-04-30 |
| 1477631752 | Hc Healthcare Inc | Clinic/Center | 777 W Duval St, Lake City, FL 32055-5806 | 2006-11-02 |
| 1902903222 | Lower Florence County Hospital | Clinic/Center | 334 Mercy St, Lake City, SC 29560-2332 | 2006-09-20 |
| Find all providers in LAKE CITY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.