| Organization Name: | SANTA ROSA COUNTY HEALTH DEPARTMENT - PRIMARY CARE |
| NPI Number: | 1013044262 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN A DEVORE JONES (ADMINISTRATOR) |
| Mailing Address: | 5527 Stewart St Milton |
| State: | FL US |
| Postal Code: | 325704303 |
| Phone Number: | 8509835200 |
| Fax Number: | 8509834816 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |