DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: FLORIDA DEPARTMENT OF HEALTH

MEDICARE: FLORIDA DEPARTMENT OF HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396732541
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA DEPARTMENT OF HEALTH
Provider Business Mailing Address
First Line : 1290 GOLFVIEW AVE STE 308
Second Line :
City : BARTOW
State : FL
Zip : 33830-6740
Country : US
Telephone Number : 863-519-7900
Fax Number : 863-519-7696
Provider Business Practice Location Address
First Line : 3241 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-2266
Country : US
Telephone Number : 863-413-2620
Fax Number : 863-499-2612
Authorized Official
Title or Position : ADMINISTRATOR
Name : AARON KISSLER
Credential :
Telephone Number : 352-516-1090
Provider Enumeration Date : 10/03/2005
Last Update Date : 06/04/2026

Similar Medicare Providers

1528056082 — MELVA GAJETON DEVERA MD
Practice Location Address:
3241 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2266
Practice Phone: 863-413-2620
Practice Fax: 863-499-2612
1144218629 — MANSOOREH SALARI MD
Practice Location Address:
3241 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2266
Practice Phone: 863-413-2620
Practice Fax: 863-499-2612
1548258866 — PATRICIA GAIL TURNER ARNP
Practice Location Address:
3241 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2266
Practice Phone: 863-413-2620
Practice Fax: 863-499-2612
1467440404 — RAJU KOTIPOYINA MD
Practice Location Address:
3241 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2266
Practice Phone: 863-413-2620
Practice Fax: 863-499-2612
1669445417 — REBECCA G PARISH RN
Practice Location Address:
3241 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2266
Practice Phone: 863-413-2620
Practice Fax:
1013980762 — CELESTE MARIA SHIVAK RN
Practice Location Address:
3241 LAKELAND HILLS BLVD
LAKELAND, FL
33805-2266
Practice Phone: 863-413-2620
Practice Fax:

Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.