Organization Name: | FLORIDA DEPARTMENT OF HEALTH |
NPI Number: | 1932177409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA L PARK-O'HARA (ADMINISTRATOR) |
Mailing Address: | 5527 Stewart St Milton |
State: | FL US |
Postal Code: | 32572 |
Phone Number: | 8509835200 |
Fax Number: | 8509834816 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 11/23/2011 |
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: |