NORTHEAST FLORIDA PRIMARY CARE CLINIC – NPI #1235232273
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

NORTHEAST FLORIDA PRIMARY CARE CLINIC is a provider located in ORANGE PARK, FL. NPPES has assigned the NPI number 1235232273 to NORTHEAST FLORIDA PRIMARY CARE CLINIC on September 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST FLORIDA PRIMARY CARE CLINIC below.

NPI Profile for
NORTHEAST FLORIDA PRIMARY CARE CLINIC

NPI Number
1235232273
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST FLORIDA PRIMARY CARE CLINIC
Primary location
1835 EAST-WEST PARKWAY
SUITE 11
ORANGE PARK, FL 32003
Phone: (904) 215-9266 Fax: (904) 264-4651
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACK PULWERS
PRESIDENT
Phone: (904) 215-9266
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
FL ME0076341
207R00000X
- Internal Medicine
FL ME0068123

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.