Organization Name: | FLORIDA DEPARTMENT OF CORRECTIONS |
NPI Number: | 1043458243 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY MORRIS (HEALTH SERVICES ADMINISTRATOR) |
Mailing Address: | 16415 Spring Hill Dr Brooksville |
State: | FL US |
Postal Code: | 346048167 |
Phone Number: | 3527546715 |
Fax Number: | |
NPI Enumeration Date: | 01/26/2009 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | ME31820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |