| Organization Name: | FLORIDA DEPARTMENT OF HEALTH |
| NPI Number: | 1558321521 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SABLE S BOLLING (ADMINISTRATOR) |
| Mailing Address: | 149 Ne 241 St Cross City |
| State: | FL US |
| Postal Code: | 326283305 |
| Phone Number: | 3524981360 |
| Fax Number: | 3524981363 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 08/19/2008 |
| 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: | |