Provider Demographics
NPI:1083687719
Name:FLORIDA DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:FLORIDA DEPARTMENT OF HEALTH
Other - Org Name:PASCO COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR, HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHITAKONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-619-0152
Mailing Address - Street 1:7509 STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6788
Mailing Address - Country:US
Mailing Address - Phone:727-861-5250
Mailing Address - Fax:727-862-4230
Practice Address - Street 1:7509 STATE ROAD 52
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6788
Practice Address - Country:US
Practice Address - Phone:727-861-5250
Practice Address - Fax:727-862-4230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027961701Medicaid