1. Home
  2. Directory
  3. Florida
  4. Lake City
  5. Clinic Center
  6. NPI Profile

DYNAMIC HEALTH CENTERS
NPI 1508181272
Clinic/Center - Rural Health in Lake City, FL

Active since April 06, 2010
163 SW STONEGATE TER STE 109, LAKE CITY, FL 32024(386) 438-8391 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2021, Mar 21, 2019 (2 updates tracked since 2019).

About Dynamic Health Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC HEALTH CENTERS (NPI 1508181272) is a healthcare organization registered as a rural health in Lake City, Florida and active in the NPI registry since April 2010. The organization lists Melissa Distefano, President, as its authorized official.

NPPES Registry Identity

NPI1508181272
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDYNAMIC HEALTH CENTERS
Location Address163 SW STONEGATE TER STE 109Lake City, FL 32024-3459
Mailing Address163 Sw Stonegate Ter Ste 109Lake City, FL 32024-3459 · (386) 438-8391
Phone(386) 438-8391
Organization SubpartNo
Authorized OfficialMelissa DistefanoPresident · (352) 262-5625
Enumeration DateApril 6, 2010
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1508181272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License HCC8936 (FL)
163 SW STONEGATE TER STE 109, Lake City, FL 32024
Open in Google Maps ↗

Other Identifiers 1

Medicaid006309100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE ROSE BROWN NURSE PRACTITIONER
Nurse Practitioner (Family)
163 SW STONEGATE TER STE 109
LAKE CITY, FL 32024
Columbia County (386) 438-8391
DYNAMIC PRIMARY HEALTHCARE CLINIC
Family Medicine
163 SW STONEGATE TER STE 109
LAKE CITY, FL 32024
Columbia County (330) 323-8976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Health Centers's NPI number?

The NPI number for Dynamic Health Centers is 1508181272. It was assigned to this organization in the NPPES registry on April 6, 2010.

Where is Dynamic Health Centers located?

Dynamic Health Centers is located at 163 SW Stonegate Ter Ste 109, Lake City, FL 32024. The listed phone number is (386) 438-8391.

What is Dynamic Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Dynamic Health Centers was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.