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NPI Code Detail

MEDICARE: STATE OF FLORIDA, DOH, BCHD

MEDICARE: STATE OF FLORIDA, DOH, BCHD
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 AgencyND 3566FL

General Provider Information

NPI Number : 1588727598
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF FLORIDA, DOH, BCHD
Provider Business Mailing Address
First Line : 597 W 11TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2330
Country : US
Telephone Number : 850-872-4666
Fax Number :
Provider Business Practice Location Address
First Line : 597 W 11TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2330
Country : US
Telephone Number : 850-872-4666
Fax Number :
Authorized Official
Title or Position : SENIOR PUBLIC HEALTH NUTRITIONIST
Name : MS. KATHRYN ANN RILEY
Credential : LD
Telephone Number : 850-872-4666
Provider Enumeration Date : 12/19/2006
Last Update Date : 06/25/2008

Similar Medicare Providers

1609849660 — FLORIDA DEPARTMENT OF HEALTH
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1275572489 — DR. ANTHONY C SPEIGHTS M.D.
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1942363924 — MRS. CLAIRE M HENNINGER RD, LD
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1174734917 — MS. KATHRYN ANN RILEY R.D., L.D.
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Practice Fax:

Directions to “STATE OF FLORIDA, DOH, BCHD ” Practice Location

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