OrganizationActive
Northwest Florida Healthcare, Inc.
NPI 1134422470 · Family Medicine Physician · Vernon, FL
Provider details
- NPI number
- 1134422470
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steven Lisenby, Chief Financial Officer(850) 415-8107
- License
- 4005 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3250 Main St
Vernon, FL 32462
Phone: (850) 535-2096
Street-level locationGet directions
Mailing address
3250 Main St
Vernon, FL 32462-2223
Other names (DBA / former)
- Doing business as
- Vernon Clinic - Northwest Florida Community Hospital
Registry dates
- Enumerated
- 2010-12-08
- Last updated
- 2024-11-25
- Certified
- 2024-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.