340B Drug Pricing Program Database
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CH042377F Northeast Florida Health Services, Inc. (Active)
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Main Details
Name
Northeast Florida Health Services, Inc.
Subdivision Name
Deltona One Stop
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032110
340B ID
CH042377F
Grant Number
H80CS02520
Additional Details
Current Program Status
Active
Registration Date
7/26/2021
Participating Start Date
8/25/2021
Participating Approval Date
8/2/2021
Last Recertification Date
2/20/2025
Contacts
Authorizing Official
Northeast Florida Health Services, inc,
Laurie Asbury, CEO
(386) 624-1054
Primary Contact
Family Health Source
Hipolito Valdez, CFO
(386) 414-9601
Addresses
Street Address
1200 Deltona Blvd
Suite 40A
Deltona, FL 32725-6306
Billing Address
Northeast Florida Health Services, Inc
1205 S Woodland Blvd
Suite 3
DeLand, FL 32720
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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