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	:	1558321521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	149 NE 241 ST
Second Line	:
City	:	CROSS CITY
State	:	FL
Zip	:	32628-3305
Country	:	US
Telephone Number	:	352-498-1360
Fax Number	:	352-498-1363

Provider Business Practice Location Address
First Line	:	149 NE 241 ST
Second Line	:
City	:	CROSS CITY
State	:	FL
Zip	:	32628-3305
Country	:	US
Telephone Number	:	352-498-1360
Fax Number	:	352-498-1363

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SABLE S BOLLING
Credential	:
Telephone Number	:	352-498-1360

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	08/19/2008

Similar Medicare Providers

1285694158 — MR. JOHN CLIFFORD KNIGHT PHYSICIANS ASSISTANT
Practice Location Address:

149 NE 241 ST
CROSS CITY, FL
32628-3305

Practice Phone: 352-498-1360
Practice Fax: 352-498-1363

1942252184 — DR. ARJUN BAMZAI
Practice Location Address:

149 NE 241ST ST
CROSS CITY, FL
32628-3305

Practice Phone: 352-498-1360
Practice Fax:

1790880326 — DIANE WALKER MD
Practice Location Address:

149 NE 241 ST
CROSS CITY, FL
32628-3305

Practice Phone: 352-498-1360
Practice Fax: 352-498-1359

1366762528 — DR. MATTHEW DANE WALKER D.M.D.
Practice Location Address:

149 NE 241 ST
CROSS CITY, FL
32628-3305

Practice Phone: 352-498-1360
Practice Fax: 352-498-1363

1417091554 — MS. CATHERINE E RIVERA MS, MM, MT-BC
Practice Location Address:

2035 CROSS ST
SEASIDE, CA
93955-3305

Practice Phone: 831-915-7260
Practice Fax:

1053315564 — NORTH FLORIDA MEDICAL CENTERS, INC.
Practice Location Address:

412 SW 351 HWY
CROSS CITY, FL
32628-0740

Practice Phone: 352-498-3349
Practice Fax: 352-498-0716

Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.