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General NPI Number Information
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NPI Number | 1558339028
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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 | 03/10/2006
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 86014 PAGES DAIRY ROAD
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City | YULEE
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State | FL
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Zip | 32097
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Country | US
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Telephone | 904-548-1880
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Fax | 904-225-0850
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Provider Business Mailing Address
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Address Line | 30 S 4TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4272
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Country | US
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Telephone | 904-548-1800
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Fax | 904-277-7286
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Authorized Official
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Title or Position | HEALTH ADMINISTRATOR/HEALTH OFFICER
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Name | CARE GLUCK
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Credential |
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Telephone | 904-753-1231
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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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