Healthcare Provider Details

I. General information

NPI: 1083687719
Provider Name (Legal Business Name): FLORIDA DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7509 STATE ROAD 52
HUDSON FL
34667-6788
US

IV. Provider business mailing address

7509 STATE ROAD 52
HUDSON FL
34667-6788
US

V. Phone/Fax

Practice location:
  • Phone: 727-861-5250
  • Fax: 727-862-4230
Mailing address:
  • Phone: 727-861-5250
  • Fax: 727-862-4230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TRANG L. CHITAKONE
Title or Position: ADMINISTRATOR, HEALTH OFFICER
Credential:
Phone: 727-619-0152