FLORIDA DEPARTMENT OF HEALTH (NPI# 1093786667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093786667 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF HEALTH |
| Other Organization Name | A.G. HOLLEY HOSPITAL |
| Practice Address |
1199 W Lantana Rd Lantana FL 33462-1514 |
| Practice Telephone | 5615825666 |
| Practice Fax Number | 5615403788 |
| Mailing Telephone | 5615825666 |
| Mailing Fax Number | 5615403788 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-03-21 |
| Authorized Official Name | MS. MARIA GOMEZ (MEDICAL ADMIN. SERVICES COORDINATOR) |
| Authorized Official Telephone | 5615403377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 3979 | FL | Hospitals |
| Other Name | Type Code |
|---|---|
| A.G. Holley Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912271701 | Florida Department of Health | Public Health or Welfare | 17316 Ne Sr 65, Hosford, FL 32334-9998 | 2012-02-27 |
| 1467726257 | Florida Department of Health | Public Health or Welfare | 1839 East Main Street, Pahokee, FL 33476-1113 | 2012-02-27 |
| 1679843569 | Florida Department of Health | Public Health or Welfare | 2585 Merchants Row Blvd, Bin A05, Tallahassee, FL 32311-3645 | 2012-01-09 |
| 1235411158 | Florida Department of Health | Public Health or Welfare | 6405 W Indiantown Rd, Jupiter, FL 33458-3952 | 2011-09-16 |
| 1285806224 | Florida Department of Health | Public Health or Welfare | 1701 Sw 16th Ave Bldg B, Gainesville, FL 32608-1153 | 2008-03-31 |
| 1346446895 | Florida Department of Health | Public Health or Welfare | 278 Dr. Lesalle Leffall Drive, Quincy, FL 32351 | 2007-06-22 |
| 1992846539 | Florida Department of Health | Pharmacy | 83 Pondella Rd, North Fort Myers, FL 33903-4411 | 2007-02-08 |
| 1891874707 | Florida Department of Health | Public Health or Welfare | 120 Suwannee Ave, Branford, FL 32008 | 2006-11-02 |
| 1386751907 | Florida Department of Health | Clinic/Center | 2575 N Courtney Pkwy, Merritt Island, FL 32953 | 2006-08-23 |
| 1306868807 | Florida Department of Health | Pharmacy | 2421 Sw 6th Ave, Ft Lauderdale, FL 33315-2613 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA DEPARTMENT OF HEALTH ST JOHNS COUNTY | 200 San Sebastian View Ste 1100, Saint Augustine, FL 32084-8695 |
| Street Address |
1199 W LANTANA RD |
| City | LANTANA |
| State | FL |
| Zip Code | 33462-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924906 | Joanne Julien | Internal Medicine | 1199 W Lantana Rd, Lantana, FL 33462-1514 | 2008-02-28 |
| 1235190331 | Jesus J. Ortiz | Psychiatry & Neurology | 1199 W Lantana Rd, Lantana, FL 33462-1514 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740645282 | The Boyer Group | Chronic Disease Hospital | 4061 Pebble Brooke Cir N, Orange Park, FL 32065-8205 | 2015-12-29 |
| 1033479316 | Va Medical Center | Chronic Disease Hospital | 500 Trinity Ln N Apt 5204, St Petersburg, FL 33716-1236 | 2012-05-21 |
| 1447749288 | Amit Paul Jangam | Chronic Disease Hospital | 2001 W 68th St, Hialeah, FL 33016-1801 | 2018-05-07 |
| 1427553569 | Dhriti Das | Chronic Disease Hospital | 2001 W 68th St Ste 202, Hialeah, FL 33016-1801 | 2018-03-29 |
| 1336696335 | Orlando Health Central | Chronic Disease Hospital | 10000 W Colonial Dr, Ocoee, FL 34761-3400 | 2016-09-07 |
| 1811385990 | Physicians Creek Inc | Chronic Disease Hospital | 2040 Ne 163rd St Ste 204, North Miami Beach, FL 33162-4953 | 2014-12-25 |
| 1790122380 | H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc | Chronic Disease Hospital | 4117 E Fowler Ave, Tampa, FL 33617-2011 | 2013-05-23 |
| 1497033500 | Jackson Memorial Hospital | Chronic Disease Hospital | 1450 Nw 10th Ave, Suite 2054a, Miami, FL 33136-1011 | 2011-07-25 |
| 1982993143 | Tanya Kirpalani | Chronic Disease Hospital | 17325 Pagonia Rd, Clermont, FL 34711-6008 | 2011-03-28 |
| 1568762219 | Cleveland Clinic Florida | Chronic Disease Hospital | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2010-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.