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General NPI Number Information
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NPI Number | 1528034170
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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 | 02/24/2006
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 515 W 6TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206-4324
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Country | US
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Telephone | 904-253-1639
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Fax | 904-253-1790
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Provider Business Mailing Address
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Address Line | 921 N DAVIS ST. BLDG A, SUITE 251
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City | JACKSONVILLE
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State | FL
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Zip | 32209
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Country | US
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Telephone | 904-253-1639
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Fax | 904-253-1790
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Authorized Official
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Title or Position | MEDICAL EXECUTIVE DIRECTOR
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Name | DR. AKILAH POPE
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Credential | M.D.
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Telephone | 904-253-2936
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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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