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NORTHEAST FLOIDA STATE HOSPITAL
NPI 1629185277
Psychiatric Hospital in Orange Park, FL

Active since August 23, 2006
1820 WILD GRAPE LN, ORANGE PARK, FL 32003(904) 269-2606 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northeast Floida State Hospital NPPES

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

NORTHEAST FLOIDA STATE HOSPITAL (NPI 1629185277) is a healthcare organization registered as a psychiatric hospital in Orange Park, Florida and active in the NPI registry since August 2006. The organization lists Toribio M. Duhaylungsod, Senior Physician Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1629185277
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameNORTHEAST FLOIDA STATE HOSPITAL
Location Address1820 WILD GRAPE LNOrange Park, FL 32003-7204
Mailing Address1820 Wild Grape LnOrange Park, FL 32003-7204 · (904) 269-2606
Phone(904) 269-2606
Organization SubpartNo
Authorized OfficialToribio M. DuhaylungsodSenior Physician Psychiatrist · (904) 259-6211
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629185277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in FL · ME27968
Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

1820 WILD GRAPE LN, Orange Park, FL 32003
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Frequently Asked Questions

What is NORTHEAST FLOIDA STATE HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1629185277, enumerated as an "organization" on August 23, 2006.

Where is the provider located?

The provider is located at 1820 WILD GRAPE LN ORANGE PARK, FL 32003 and the phone number is (904) 269-2606.

What is the provider's specialty?

Psychiatric Hospital with taxonomy code 283Q00000X.