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1841271715

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
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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	72470	OTHER	FL	BLUE CROSS PROVIDER NUMBE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841271715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA DEPARTMENT OF HEALTH

Provider Business Mailing Address
First Line	:	1900 27TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3383
Country	:	US
Telephone Number	:	772-794-7400
Fax Number	:	772-794-7453

Provider Business Practice Location Address
First Line	:	1900 27TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-3383
Country	:	US
Telephone Number	:	772-794-7400
Fax Number	:	772-794-7453

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. MIRANDA HAWKER
Credential	:	MPH
Telephone Number	:	772-794-7450

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/09/2016

Similar Medicare Providers

1184624116 — MR. JOHN BENJAMIN SPIERS III ARNP
Practice Location Address:

1900 27TH ST
VERO BEACH, FL
32960-3383

Practice Phone: 772-794-7400
Practice Fax: 772-770-6116

1104816651 — JOSEPH WILLIAM GUARINE
Practice Location Address:

1900 27TH ST
VERO BEACH, FL
32960-3383

Practice Phone: 772-794-7467
Practice Fax: 772-794-7453

1538145578 — DAVID LESLIE HOLTZCLAW M.D.
Practice Location Address:

1900 27TH ST
VERO BEACH, FL
32960-3383

Practice Phone: 772-794-7415
Practice Fax:

1740246065 — DR. KAMALASANI PANCHAMIRTHAM M.D.
Practice Location Address:

1900 27TH ST
VERO BEACH, FL
32960-3383

Practice Phone: 772-794-7400
Practice Fax: 772-794-7453

1962551101 — DR. GLORIA MARY RYAN M.D.
Practice Location Address:

1900 27TH ST
VERO BEACH, FL
32960-3383

Practice Phone: 772-794-7461
Practice Fax: 772-794-7453

1750430963 — RICHARD ORLO HAIGHT MD
Practice Location Address:

1900 27TH ST
VERO BEACH, FL
32960-3383

Practice Phone: 772-794-7400
Practice Fax: 772-794-7453

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.

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