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General NPI Number Information
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NPI Number | 1851350409
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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 | 03/22/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 209 CENTRAL AVE SE
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City | JASPER
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State | FL
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Zip | 32052-6153
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Country | US
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Telephone | 386-792-1414
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Fax | 386-792-2352
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Provider Business Mailing Address
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Address Line | PO BOX 267
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City | JASPER
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State | FL
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Zip | 32052-0267
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Country | US
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Telephone | 386-792-1414
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Fax | 386-792-2352
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Authorized Official
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Title or Position | INTERIM ADMINISTRATOR
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Name | MRS. DIANA DUQUE
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Credential |
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Telephone | 352-727-0542
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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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