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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DU1464	OTHER	FL	RAILROAD MEDICARE/PALMETTO GBA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134189103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	800 CLEMATIS ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5107
Country	:	US
Telephone Number	:	561-671-4117
Fax Number	:	561-837-5202

Provider Business Practice Location Address
First Line	:	1150 45TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2361
Country	:	US
Telephone Number	:	561-514-5300
Fax Number	:	561-514-5538

Authorized Official
Title or Position	:	COUNTY HEALTH DEPARTMENT DIRECTOR
Name	:	DR. JYOTHI GUNTA
Credential	:	MD
Telephone Number	:	561-671-4021

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	09/28/2023

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Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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