Healthcare Provider Details

I. General information

NPI: 1780759175
Provider Name (Legal Business Name): FLORIDA DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1845 TOWN CENTER BLVD BLDG 400
FLEMING ISLAND FL
32003-3356
US

IV. Provider business mailing address

1845 TOWN CENTER BLVD. BLDG. 600, BOX #15
FLEMING ISLAND FL
32003
US

V. Phone/Fax

Practice location:
  • Phone: 904-529-2811
  • Fax: 904-529-2802
Mailing address:
  • Phone: 904-529-2800
  • Fax: 904-529-2802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: HEATHER E HUFFMAN
Title or Position: HEALTH OFFICER & ADMINISTRATOR
Credential:
Phone: 904-529-2808