904 HEALTH, INC
NPI 1699487678
Clinic/Center - Primary Care in Yulee, FL
NPI Status: Active since December 21, 2022
Contact Information
96040 LOFTON SQUARE CT
YULEE, FL
ZIP 32097
Phone: (904) 659-2475
Fax: (904) 453-8600
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 10D2270826
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 10-20-2026
About 904 HEALTH, INC
This page provides the complete NPI Profile along with additional information for 904 Health, Inc, a primary care provider established in Yulee, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1699487678 assigned on December 2022. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated one year ago. 904 Health, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1699487678
- Provider Legal Name
- 904 HEALTH, INC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 96040 LOFTON SQUARE CT YULEE, FL 32097
- Location Phone
- (904) 659-2475
- Location Fax
- (904) 453-8600
- Mailing Address
- 221 N HOGAN ST STE 118 JACKSONVILLE, FL 32202
- Mailing Phone
- (904) 659-2475
- Mailing Fax
- (904) 453-8600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2022
- Last Update Date
- 04-09-2025
- Code Navigator
A primary care provider (PCP) like 904 Health, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 1823 Business Park Blvd
Daytona Beach, FL 32114
(904) 900-1513 - 2102 14th St W
Bradenton, FL 34205
(904) 900-1513 - 5951 Clark Center Ave Unit B
Sarasota, FL 34238
(904) 900-1513 - 7207 N Nebraska Ave
Tampa, FL 33604
(904) 904-1513 - 1104 E Fowler Ave Unit 100
Tampa, FL 33612
(904) 900-1513 - 320 Oakfield Dr
Brandon, FL 33511
(904) 900-1513 - 1241 Blanding Blvd Ste 5
Orange Park, FL 32065
(904) 900-1513 - 3574 US 1 S Ste 101-104
St Augustine, FL 32086
(904) 900-1513 - 2420 S Highway 29
Cantonment, FL 32533
(904) 900-1513 - 57 Town Ct Ste 215
Palm Coast, FL 32164
(904) 900-1513 - 4427 Emerson St Ste A
Jacksonville, FL 32207
(904) 900-1513
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 251K00000X | Agencies | Public Health or Welfare | |
| 3 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2270826
- Facility Type
- Community Clinic
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- PABLO PELLA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 904 Health, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699487678, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 82 is 90. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699487678, enumerated as an "organization" on December 21, 2022.
The provider is located at 96040 LOFTON SQUARE CT YULEE, FL 32097 and the phone number is (904) 659-2475.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
