Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Florida State Hospital

Organization Geriatric Psychiatry Physician · NPI 1932202322

Northeast Florida State Hospital provides Geriatric Psychiatry Physician services in Macclenny, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006

Practice location Address checks out

7487 S State Road 121
Macclenny, FL 32063-5451
Phone: (904) 259-6211
Fax: (904) 259-7104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence OS 7547 (FL)

Record details

NPI number1932202322
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olga Arias — Senior Physician · (904) 259-6211
NPI enumeratedSeptember 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address7487 S State Road 121, Macclenny, FL 32063-5451

Other providers in Macclenny