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General NPI Number Information
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NPI Number | 1508949819
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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 | 10/23/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 5150 NW MILNER DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-3392
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Country | US
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Telephone | 772-462-3800
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Fax | 772-462-3865
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Provider Business Mailing Address
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Address Line | 5150 NW MILNER DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-3392
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Country | US
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Telephone | 772-468-3800
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Fax | 772-871-5361
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CLINT J SPERBER
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Credential |
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Telephone | 772-462-3800
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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 | ME91352
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License Number State | FL
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