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NPI Code Detail

MEDICARE: FLORIDA DEPARTMENT OF CORRECTIONS

MEDICARE: FLORIDA DEPARTMENT OF CORRECTIONS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/CenterME31820FL

General Provider Information

NPI Number : 1043458243
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA DEPARTMENT OF CORRECTIONS
Provider Business Mailing Address
First Line : 16415 SPRING HILL DR
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34604-8167
Country : US
Telephone Number : 352-754-6715
Fax Number :
Provider Business Practice Location Address
First Line : 16415 SPRING HILL DR
Second Line :
City : BROOKSVILLE
State : FL
Zip : 34604-8167
Country : US
Telephone Number : 352-754-6715
Fax Number :
Authorized Official
Title or Position : HEALTH SERVICES ADMINISTRATOR
Name : MRS. KIMBERLY MORRIS
Credential :
Telephone Number : 352-754-6715
Provider Enumeration Date : 01/26/2009
Last Update Date : 01/27/2009

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Directions to “FLORIDA DEPARTMENT OF CORRECTIONS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.