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904 HEALTH, INC
NPI 1699487678
Clinic/Center - Primary Care in Yulee, FL

Active since December 21, 2022
96040 LOFTON SQUARE CT, YULEE, FL 32097(904) 659-2475(904) 453-8600 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Mar 10, 2023, Dec 21, 2022 (3 updates tracked since 2022).

About 904 Health, Inc NPPES

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

904 HEALTH, INC (NPI 1699487678) is a healthcare organization registered as a primary care in Yulee, Florida and active in the NPI registry since December 2022. The organization maintains 11 additional practice locations and lists Wendy Kelly, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1699487678
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business Name904 HEALTH, INC
Location Address96040 LOFTON SQUARE CTYulee, FL 32097-6347
Mailing Address221 N Hogan St Ste 118Jacksonville, FL 32202-4201 · (904) 659-2475 · Fax (904) 453-8600
Phone(904) 659-2475
Fax(904) 453-8600
Organization SubpartNo
Authorized OfficialWendy KellyOffice Administrator · (563) 650-2158
Enumeration DateDecember 21, 2022
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1699487678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
96040 LOFTON SQUARE CT, Yulee, FL 32097
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Other Names 1

Other NameManager

Secondary Practice Locations 11

Location 12420 S Highway 29Cantonment, FL 32533-5808 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 23574 US 1 S Ste 101-104St Augustine, FL 32086-6466 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 31241 Blanding Blvd Ste 5Orange Park, FL 32065-5908 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 44427 Emerson St Ste AJacksonville, FL 32207-4969 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 5320 Oakfield DrBrandon, FL 33511-5723 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 61104 E Fowler Ave Unit 100Tampa, FL 33612-5404 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 77207 N Nebraska AveTampa, FL 33604-4916 · Phone (904) 904-1513 · Fax (904) 575-4944
Location 85951 Clark Center Ave Unit BSarasota, FL 34238-2717 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 92102 14th St WBradenton, FL 34205-6351 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 101823 Business Park BlvdDaytona Beach, FL 32114-1230 · Phone (904) 900-1513 · Fax (904) 575-4944
Location 1157 Town Ct Ste 215Palm Coast, FL 32164-2425 · Phone (904) 900-1513 · Fax (904) 575-4944

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

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 904 Health, Inc's NPI number?

The NPI number for 904 Health, Inc is 1699487678. It was assigned to this organization in the NPPES registry on December 21, 2022. The provider is also known as Manager.

Where is 904 Health, Inc located?

904 Health, Inc is located at 96040 Lofton Square Ct, Yulee, FL 32097. The listed phone number is (904) 659-2475.

What is 904 Health, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for 904 Health, Inc was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.