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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 Agency

Other Identifiers

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

General Provider Information

NPI Number : 1659344620
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA DEPARTMENT OF HEALTH
Provider Business Mailing Address
First Line : 7205 S GEORGE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33875-5847
Country : US
Telephone Number : 863-386-6040
Fax Number : 863-382-7279
Provider Business Practice Location Address
First Line : 7205 S GEORGE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33875-5847
Country : US
Telephone Number : 863-386-6040
Fax Number : 863-382-7279
Authorized Official
Title or Position : HEALTH DEPARTMENT ADMINISTRATOR
Name : SHANE PATRICK LOCKWOOD
Credential :
Telephone Number : 863-386-7238
Provider Enumeration Date : 02/09/2006
Last Update Date : 07/27/2022

Similar Medicare Providers

1831168558 — DESREEN E BENNETT-BLAKE A.R.N.P.
Practice Location Address:
7205 S GEORGE BLVD
SEBRING, FL
33875-5847
Practice Phone: 863-386-6040
Practice Fax: 863-386-6048
1306815675 — DR. ZAIDA IVETTE MARCANO D.D.S.
Practice Location Address:
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1013976257 — BARBARA J MOORE R.N.
Practice Location Address:
7205 S GEORGE BLVD
SEBRING, FL
33875-5847
Practice Phone: 863-386-6040
Practice Fax: 863-386-6048
1356310643 — DR. TAI M DUONG M.D.
Practice Location Address:
7205 S GEORGE BLVD
SEBRING, FL
33875-5847
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Practice Fax: 863-386-6040
1053405845 — JILL K EADES R.N.
Practice Location Address:
7205 S GEORGE BLVD
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33875-5847
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1992870943 — ISMAEL COLON
Practice Location Address:
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Directions to “FLORIDA DEPARTMENT OF HEALTH ” Practice Location

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