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General NPI Number Information
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NPI Number | 1932149531
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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 | 06/08/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 19611 STATE ROAD 20 WEST
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City | BLOUNTSTOWN
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State | FL
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Zip | 32424-3917
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Country | US
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Telephone | 850-674-5645
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Fax | 850-674-5420
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Provider Business Mailing Address
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Address Line | 19611 STATE ROAD 20 WEST
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City | BRISTOL
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State | FL
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Zip | 32321-6917
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Country | US
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Telephone | 850-643-2415
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Fax | 850-643-5689
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Authorized Official
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Title or Position | SENIOR PUBLIC HEALTH SERVICES MANAG
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Name | MRS. HEATHER N ELLERBEE
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Credential |
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Telephone | 850-214-5006
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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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