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NPI Code Detail

MEDICARE: FLORIDA DEPARTMENT OF HEALTH

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
1251K00000XPublic Health or Welfare AgencyFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609849660
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA DEPARTMENT OF HEALTH
Provider Business Mailing Address
First Line : 597 W 11TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-2330
Country : US
Telephone Number : 850-872-4455
Fax Number : 850-747-5475
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 : 850-872-4455
Fax Number : 850-747-5475
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. DOUGLAS KENT
Credential :
Telephone Number : 850-872-4455
Provider Enumeration Date : 02/09/2006
Last Update Date : 07/11/2013

Similar Medicare Providers

1609844802 — BEVERLY ANN TAYLOR ARNP
Practice Location Address:
597 W 11TH ST
PANAMA CITY, FL
32401-2330
Practice Phone: 850-872-4455
Practice Fax: 850-747-5475
1588619019 — MERFAT E HASSAN M.D.
Practice Location Address:
597 W 11TH ST
PANAMA CITY, FL
32401-2330
Practice Phone: 850-872-4455
Practice Fax: 850-747-5475
1275572489 — DR. ANTHONY C SPEIGHTS M.D.
Practice Location Address:
597 W 11TH ST
PANAMA CITY, FL
32401-2330
Practice Phone: 850-872-4455
Practice Fax: 850-747-5475
1942363924 — MRS. CLAIRE M HENNINGER RD, LD
Practice Location Address:
597 W 11TH ST
PANAMA CITY, FL
32401-2330
Practice Phone: 850-872-4666
Practice Fax: 850-872-7390
1588727598 — STATE OF FLORIDA, DOH, BCHD
Practice Location Address:
597 W 11TH ST
PANAMA CITY, FL
32401-2330
Practice Phone: 850-872-4666
Practice Fax:
1174734917 — MS. KATHRYN ANN RILEY R.D., L.D.
Practice Location Address:
597 WEST 11TH STREET
PANAMA CITY, FL
32401-2330
Practice Phone: 850-872-4455
Practice Fax:

Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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