Healthcare Provider Details

I. General information

NPI: 1245354943
Provider Name (Legal Business Name): FLORIDA DEPARTMENT OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LOVELAND BLVD
PORT CHARLOTTE FL
33980
US

IV. Provider business mailing address

1100 LOVELAND BLVD
PORT CHARLOTTE FL
33980-1802
US

V. Phone/Fax

Practice location:
  • Phone: 941-624-7200
  • Fax: 941-624-7274
Mailing address:
  • Phone: 941-624-7200
  • Fax: 941-624-7274

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: JOSEPH D PEPE
Title or Position: DIRECTOR
Credential:
Phone: 941-624-7200