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NPI Code Detail

MEDICARE: JEFFERSON COUNTY DEPARTMENT OF HEALTH

MEDICARE: JEFFERSON COUNTY 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 AgencyPN798931FL

General Provider Information

NPI Number : 1952709172
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFERSON COUNTY DEPARTMENT OF HEALTH
Provider Business Mailing Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0170
Fax Number : 850-342-0257
Provider Business Practice Location Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : MONTICELLO
State : FL
Zip : 32344-1128
Country : US
Telephone Number : 850-342-0170
Fax Number : 850-342-0257
Authorized Official
Title or Position : OFFICE AUTOMATION ANALYST
Name : MS. FRAN TUTEN
Credential : ADMIN
Telephone Number : 850-342-0170
Provider Enumeration Date : 12/22/2014
Last Update Date : 12/22/2014

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Directions to “JEFFERSON COUNTY DEPARTMENT OF HEALTH ” Practice Location

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