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General NPI Number Information
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NPI Number | 1558334367
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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 | 02/10/2006
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 3339 E TAMIAMI TRL STE 145
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City | NAPLES
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State | FL
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Zip | 34112-5361
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Country | US
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Telephone | 239-252-8200
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Fax | 239-252-2569
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | NAPLES
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State | FL
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Zip | 34106-0429
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Country | US
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Telephone | 239-252-8200
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Fax |
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Authorized Official
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Title or Position | ASSISTANT CHD ADMINISTRATOR
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Name | ALAN PORTIS
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Credential |
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Telephone | 239-252-8206
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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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