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General NPI Number Information
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NPI Number | 1134189103
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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 | 03/24/2006
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 1150 45TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2361
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Country | US
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Telephone | 561-514-5300
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Fax | 561-514-5538
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Provider Business Mailing Address
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Address Line | 800 CLEMATIS ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5107
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Country | US
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Telephone | 561-671-4117
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Fax | 561-837-5202
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Authorized Official
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Title or Position | COUNTY HEALTH DEPARTMENT DIRECTOR
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Name | DR. JYOTHI GUNTA
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Credential | MD
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Telephone | 561-671-4021
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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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