OrganizationActive
904 Health, Inc
NPI 1699487678 · Primary Care Clinic/Center · Yulee, FL
Provider details
- NPI number
- 1699487678
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Wendy Kelly, Office Administrator
Practice location
96040 Lofton Square Ct
Yulee, FL 32097-6347
Phone: (904) 659-2475
Fax: (904) 453-8600
Mailing address
221 N Hogan St Ste 118
Jacksonville, FL 32202-4201
Registry dates
- Enumerated
- 2022-12-21
- Last updated
- 2025-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.