=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386725893
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DADE COUNTY BOARD OF HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2006
-----------------------------------------------------
Last Update Date | 11/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 71 CASE AVE SUITE H100
-----------------------------------------------------
City | TRENTON
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30752
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-657-4213
-----------------------------------------------------
Fax | 706-657-7813
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 446
-----------------------------------------------------
City | TRENTON
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30752-0446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-657-4213
-----------------------------------------------------
Fax | 706-933-0224
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HEALTH DIRECTOR
-----------------------------------------------------
Name | GARY VOCCIO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 706-295-6704
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251K00000X
-----------------------------------------------------
Taxonomy Name | Public Health or Welfare Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------