MEDICARE: FLORIDA DEPARTMENT OF HEALTH

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
1	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1043592074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 29
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33402-0029
Country	:	US
Telephone Number	:	561-671-4117
Fax Number	:	561-837-5202

Provider Business Practice Location Address
First Line	:	7289 GARDEN RD
Second Line	:	SUITE 200
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-4917
Country	:	US
Telephone Number	:	561-671-4117
Fax Number	:	561-837-5202

Authorized Official
Title or Position	:	HEALTH FINANCIAL MANAGER
Name	:	DR. ALINA M ALONSO
Credential	:	M.D.
Telephone Number	:	561-671-4117

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	09/15/2011

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Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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