| Organization Name: | JEFFERSON COUNTY DEPARTMENT OF HEALTH |
| NPI Number: | 1952709172 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRAN TUTEN (OFFICE AUTOMATION ANALYST) |
| Mailing Address: | 1255 W Washington St Monticello |
| State: | FL US |
| Postal Code: | 323441128 |
| Phone Number: | 8503420170 |
| Fax Number: | 8503420257 |
| NPI Enumeration Date: | 12/22/2014 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | PN798931 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |