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

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346446895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32353-1000
Country	:	US
Telephone Number	:	850-743-6055
Fax Number	:	850-875-9213

Provider Business Practice Location Address
First Line	:	278 DR. LESALLE LEFFALL DRIVE
Second Line	:
City	:	QUINCY
State	:	FL
Zip	:	32351
Country	:	US
Telephone Number	:	850-875-7200
Fax Number	:	850-875-7210

Authorized Official
Title or Position	:	CHD ADMINISTRATOR
Name	:	MS. ADRIAN COOKSEY
Credential	:
Telephone Number	:	850-743-6081

Provider Enumeration Date	:	06/22/2007
Last Update Date	:	04/16/2026

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Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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