Provider Demographics
NPI:1093986770
Name:CHARLOTTE COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:CHARLOTTE COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-833-3500
Mailing Address - Street 1:514 E GRACE ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-6121
Mailing Address - Country:US
Mailing Address - Phone:941-639-1181
Mailing Address - Fax:941-639-5669
Practice Address - Street 1:1994 KINGS HWY
Practice Address - Street 2:
Practice Address - City:PT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-4214
Practice Address - Country:US
Practice Address - Phone:941-613-0950
Practice Address - Fax:941-613-0959
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA DEPARTMENT OF HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 1737082251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare