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

General Provider Information

NPI Number	:	1487629200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	1875 FORTUNE RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4428
Country	:	US
Telephone Number	:	407-343-2000
Fax Number	:	407-343-2002

Provider Business Practice Location Address
First Line	:	1875 FORTUNE RD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4428
Country	:	US
Telephone Number	:	407-343-2000
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING SERVICES SUPERVISOR
Name	:	MRS. JUDITH CRUZ
Credential	:
Telephone Number	:	407-343-2081

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	09/23/2025

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Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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