Organization Name: | FLORIDA DEPARTMENT OF HEALTH |
NPI Number: | 1568736353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY E KING (OMC MANAGER) |
Mailing Address: | 12832 Nw Central Ave Bristol |
State: | FL US |
Postal Code: | 323216918 |
Phone Number: | 8506432415 |
Fax Number: | 8506435689 |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
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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: |