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
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1528034170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	921 N DAVIS ST.
Second Line	:	BLDG A, SUITE 251
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209
Country	:	US
Telephone Number	:	904-253-1639
Fax Number	:	904-253-1790

Provider Business Practice Location Address
First Line	:	515 W 6TH ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32206-4324
Country	:	US
Telephone Number	:	904-253-1639
Fax Number	:	904-253-1790

Authorized Official
Title or Position	:	MEDICAL EXECUTIVE DIRECTOR
Name	:	DR. AKILAH POPE
Credential	:	M.D.
Telephone Number	:	904-253-2936

Provider Enumeration Date	:	02/24/2006
Last Update Date	:	04/22/2025

Similar Medicare Providers

1265428932 — DR. AKILAH JAMILA POPE MD
Practice Location Address:

515 W 6TH ST
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Practice Fax:

1821078718 — DR. LAURIER LYNN MCCRAVY DMD
Practice Location Address:

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1861454126 — MRS. KERRIE PEACOCK-PRESTON PA-C
Practice Location Address:

515 W 6TH ST
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Practice Fax:

1053362095 — DR. MARIA SAINT-PRE MD
Practice Location Address:

515 W 6TH ST
JACKSONVILLE, FL
32206-4324

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1629029582 — MR. KEITH ALLEN WILLIAMS ARNP
Practice Location Address:

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1639120249 — MS. GERALDINE M DEL CHARCO ARNP
Practice Location Address:

515 W 6TH ST , MC #24
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Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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