NPI
County Of Hamilton
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-06-18
- Last updated
- 2012-05-10
Specialties
Licenses
- License FL
- 002519
Location
- Practice location
- 207 1st St Ne, 902 Us Hwy 41 Nw
- City
- Jasper FL
- Postal code
- 32052-6633
- Phone
- (386) 792-1288
Organization contact
- Name
- LISA HARRIS
- Title
- Accounts Manager
- Phone
- 3867926817
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jasper, FL. 106 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.