Provider Demographics
NPI:1679843569
Name:FLORIDA DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:FLORIDA DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR POLCY CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:EMORY
Authorized Official - Last Name:STREET
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:850-245-4036
Mailing Address - Street 1:2585 MERCHANTS ROW BLVD
Mailing Address - Street 2:BIN A05
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-3645
Mailing Address - Country:US
Mailing Address - Phone:850-245-4036
Mailing Address - Fax:
Practice Address - Street 1:2585 MERCHANTS ROW BLVD
Practice Address - Street 2:BIN A05
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32311-3645
Practice Address - Country:US
Practice Address - Phone:850-245-4036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare