FLORIDA DEPARTMENT OF HEALTH (NPI# 1164775870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164775870 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF HEALTH |
| Other Organization Name | WALTON COMMUNITY HEALTH CENTER |
| Practice Address |
362 State Highway 83 Defuniak Springs FL 32433-1733 |
| Practice Telephone | 8508928040 |
| Practice Fax Number | 8508928024 |
| Mailing Telephone | 8508928040 |
| Mailing Fax Number | 8508928024 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | HARRIET SIMMONS (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 8508928040 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA DEPARTMENT OF HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Walton Community Health Center | 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 |
362 STATE HIGHWAY 83 |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32433-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154391027 | Arjen L Van De Voorde | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433 | 2006-01-24 |
| 1386256485 | Noelle Klawon Manese | Nurse Practitioner | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2020-08-19 |
| 1063758803 | Lygia Nabors | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433-1733 | 2012-12-26 |
| 1164718763 | Peter Jason Goltz | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433-1733 | 2011-06-22 |
| 1265440028 | Gary S Crosson | Dentist | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2006-08-04 |
| 1790746535 | Florida Department of Health | Public Health or Welfare | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2006-03-31 |
| 1790754117 | Elizabeth Anne Dixon | Nurse Practitioner | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811072960 | Alexander Neiman | Internal Medicine | 1031 Us Hwy 90 W, Ste 1 & 2, Defuniak Springs, FL 32433 | 2006-10-26 |
| 1447359401 | Wal-mart Stores East, Lp | Technician/Technologist | 1226 Freeport Road, Defuniak Springs, FL 32433 | 2006-09-22 |
| 1275595738 | Mash Inc | Durable Medical Equipment & Medical Supplies | 379 E Nelson Ave, Defuniak Springs, FL 32433 | 2006-04-03 |
| 1992764005 | Shirley Dianne Guillory | Registered Nurse | 475 State Highway 83, Defuniak Springs, FL 32433 | 2006-03-20 |
| 1629062351 | Robert King Persons | Family Medicine | Walton County Health Department, 3162 Highway 83, Defuniak Springs, FL 32433 | 2005-09-08 |
| 1477030708 | Ashley Fleming | Pharmacist | 1226 Freeport Road, De Funiak Springs, FL 32433 | 2018-07-19 |
| 1710226865 | Genevieve Powell | Doula | 1810 Sandy Ramp Rd, Defuniak Springs, FL 32433-0066 | 2013-02-10 |
| 1720284649 | Patricia A Ferman | Dietitian, Registered | 72 Happy Ln, Defuniak Springs, FL 32433-0514 | 2007-06-26 |
| 1710066576 | Vicky E Dantzler | Registered Nurse | 324 Ralph Long Rd, Defuniak Springs, FL 32433-0830 | 2006-11-03 |
| 1407323371 | Olivia Wilder | Hearing Instrument Specialist | 1756 Us Highway 90 W Ste 3, Defuniak Springs, FL 32433-1449 | 2018-10-30 |
| Find all providers in zip 32433 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861532640 | Walton County Healh Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2007-02-08 |
| 1134295959 | Walton County Health Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2006-11-24 |
| 1528134434 | Walton County Health Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2006-11-24 |
| 1982770897 | Walton County Health Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2006-11-24 |
| 1043384993 | Walton County Health Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2006-11-20 |
| 1992878615 | Walton County Health Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2006-11-17 |
| 1033282801 | Walton County Health Department | Public Health or Welfare | 475 State Highway 83, Defuniak Springs, FL 32433-1733 | 2006-11-17 |
| 1790746535 | Florida Department of Health | Public Health or Welfare | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384735 | I Slash Technologies LLC | Public Health or Welfare | 6504 Markstown Dr Apt D, Tampa, FL 33617-9516 | 2020-07-24 |
| 1699393488 | Richard Harry | Public Health or Welfare | 211 W Atwater Ave, Eustis, FL 32726-5423 | 2020-07-08 |
| 1326670357 | Blackstone Home Healthcare LLC | Public Health or Welfare | 101 Century 21 Dr Ste 208, Jacksonville, FL 32216-9293 | 2020-02-07 |
| 1184261125 | Deena Cruce | Public Health or Welfare | 4800 Nw 19th Pl, Gainesville, FL 32605-3434 | 2019-12-10 |
| 1447895925 | Community Health Medical Center LLC | Public Health or Welfare | 3951 N Haverhill Rd Ste 117, West Palm Beach, FL 33417-8349 | 2019-11-08 |
| 1346809290 | Initium Novum LLC | Public Health or Welfare | 1657 N Miami Ave Apt 515, Miami, FL 33136-2010 | 2019-06-12 |
| 1497230528 | Dynamic Medical Management Solutions | Public Health or Welfare | 6100 Johnson St, Hollywood, FL 33024-6030 | 2018-09-25 |
| 1578047692 | Luis Estevez | Public Health or Welfare | 6789 Sw 14th St, Miami, FL 33144-5528 | 2018-09-25 |
| 1205330347 | Christine Denise Mendez | Public Health or Welfare | 6200 Sw 73rd St # E, South Miami, FL 33143-4679 | 2018-03-22 |
| 1437664919 | Eclipse Medical Inc. | Public Health or Welfare | 7811 Coral Way Ste 103, Miami, FL 33155-6540 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32433 |
Please comment or provide details below to improve the information on FLORIDA DEPARTMENT OF HEALTH.
| 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.