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NPI Code Detail

MEDICARE: DOH

MEDICARE: DOH
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
1251K00000XPublic Health or Welfare AgencyPN5173799FL

General Provider Information

NPI Number : 1508233727
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOH
Provider Business Mailing Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0907
Fax Number : 850-342-0123
Provider Business Practice Location Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0907
Fax Number : 850-342-0123
Authorized Official
Title or Position : LPN
Name : ERRIN MAYS
Credential :
Telephone Number : 850-342-0907
Provider Enumeration Date : 08/24/2015
Last Update Date : 08/24/2015

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Directions to “DOH ” Practice Location

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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.

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