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General NPI Number Information
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NPI Number | 1124090832
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Entity Type | Organization
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Legal Business Name | FLORIDA DEPARTMENT OF HEALTH
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 1105 E KENNEDY BLVD
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City | TAMPA
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State | FL
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Zip | 33602-3511
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Country | US
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Telephone | 813-559-4344
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Fax | 813-276-2999
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Provider Business Mailing Address
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Address Line | 1105 E KENNEDY BLVD
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City | TAMPA
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State | FL
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Zip | 33602-3511
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Country | US
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Telephone | 813-559-4344
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Fax | 813-276-2999
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Authorized Official
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Title or Position | QUALITY ANALYST
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Name | SUZETTE MCNEIL
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Credential |
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Telephone | 813-559-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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