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General NPI Number Information
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NPI Number | 1710949318
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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 | 04/06/2006
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 603 SCENIC CIRCLE
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City | BONIFAY
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State | FL
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Zip | 32425
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Country | US
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Telephone | 850-547-8500
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Fax | 850-547-8515
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Provider Business Mailing Address
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Address Line | 603 SCENIC CIRCLE DR
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City | BONIFAY
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State | FL
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Zip | 32425-3060
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Country | US
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Telephone | 850-547-8500
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Fax | 850-547-8515
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TRACI CORBIN
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Credential | DNP
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Telephone | 850-614-6060
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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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