Organization Name: | STATE OF FLORIDA DEPARMENT OF HEALTH |
NPI Number: | 1093889370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK JOHNSON (ADMINISTRATOR) |
Mailing Address: | 301 S Lemon St Bunnell |
State: | FL US |
Postal Code: | 321106212 |
Phone Number: | 3864377350 |
Fax Number: | 3864377353 |
NPI Enumeration Date: | 11/20/2006 |
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: |