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General NPI Number Information
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NPI Number | 1548263114
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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 | 05/27/2005
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 10971 NW SPRING STREET
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City | BRISTOL
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State | FL
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Zip | 32321-0489
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Country | US
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Telephone | 850-643-2292
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Fax | 850-643-2306
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Provider Business Mailing Address
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Address Line | 10971 NW SPRING ST
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City | BRISTOL
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State | FL
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Zip | 32321-6917
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Country | US
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Telephone | 850-643-2415
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Fax | 850-643-5689
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. RACHEL BRYANT
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Credential |
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Telephone | 850-643-2415
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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 | FL
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