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1710949318 NPI number — FLORIDA DEPARTMENT OF HEALTH

NPI Number: 1710949318
Health Care Provider/Practitioner: FLORIDA DEPARTMENT OF HEALTH

Information about “1710949318” NPI (FLORIDA DEPARTMENT OF HEALTH) exists in 1710949318 in HTML format HTML  |  1710949318 in plain Text format TXT  |  1710949318 in PDF (Portable Document Format) PDF  |  1710949318 in an XML format XML  formats.

NPI Number : 1710949318 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710949318",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FLORIDA DEPARTMENT OF HEALTH",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "603 SCENIC CIRCLE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BONIFAY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32425-3060",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-547-8500",
    "MailingAddressFaxNumber": "850-547-8515",
    "FirstLinePracticeLocationAddress": "603 SCENIC CIRCLE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BONIFAY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32425",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-547-8500",
    "PracticeLocationAddressFaxNumber": "850-547-8515",
    "EnumerationDate": "04/06/2006",
    "LastUpdateDate": "09/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CORBIN",
    "AuthorizedOfficialFirstName": "TRACI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DNP",
    "AuthorizedOfficialTelephoneNumber": "850-614-6060",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251K00000X",
        "TaxonomyName": "Public Health or Welfare Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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