FLORIDA DEPARTMENT OF HEALTH


Address: 900 University Blvd N, Mc-75, Jacksonville, FL 32211-5530
Phone: 9042532062

FLORIDA DEPARTMENT OF HEALTH (NPI# 1528034170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528034170
Entity Type Organization
Organization Name FLORIDA DEPARTMENT OF HEALTH
Other Organization Name DUVAL COUNTY HEALTH DEPARTMENT
Practice Address 900 University Blvd N
Mc-75
Jacksonville
FL 32211-5530
Mailing Address 900 University Blvd N # Mc-75
Jacksonville
FL 32211-5530
Practice Telephone 9042532062
Practice Fax Number 9042531942
Mailing Telephone 9042532062
Mailing Fax Number 9042531942
Enumeration Date 2006-02-24
Last Update Date 2015-10-02
Authorized Official Name MS. KELLI T WELLS (DIRECTOR)
Authorized Official Telephone 9042532137
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Other Provider Identifier

State Issuer Identifier Type Code
FL 027926900 05
FL 0752886 05
FL 6765131 05

Other Provider/Organization Names

Other Name Type Code
Duval County Health Department Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 900 UNIVERSITY BLVD N
MC-75
City JACKSONVILLE
State FL
Zip Code 32211-5530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326461773 Tamela Swanson Nurse Practitioner 900 University Blvd N, Suite 105, Mc-75, Jacksonville, FL 32211-9230 2014-01-21
1740626076 Miguel Angel Lopez II Social Worker 900 University Blvd N, Jacksonville, FL 32211-9230 2013-05-14
1891039848 Brittaney H Bialas Dietitian, Registered 900 University Blvd N, Suite 606, Jacksonville, FL 32211-9230 2012-11-15
1720338387 Lakesha N Brown Case Manager/Care Coordinator 900 University Blvd N, Mc-66, Jacksonville, FL 32211-5530 2012-09-11
1548521438 Vernita Marie Johnson Nurse Practitioner 900 University Blvd N, Jacksonville, FL 32211-9230 2012-06-06
1154641579 Duval County Health Department Public Health or Welfare 900 University Blvd N, Suite 606, Jacksonville, FL 32211-9230 2010-06-08
1649406885 Kristin L Keen Dietitian, Registered 900 University Blvd N, Suite 606, Jacksonville, FL 32211-9203 2009-06-02
1639342827 Sarah Pennell Traband Dietitian, Registered 900 University Blvd N, Suite 606, Jacksonville, FL 32211-9203 2008-04-08
1497952303 Elizabeth Fields Counselor 900 University Blvd N, Jacksonville, FL 32211-9230 2007-07-03
1487723979 Maribel Monsalve Pediatrics 900 University Blvd N, Mc-75, Jacksonville, FL 32211-5530 2006-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457951758 Ebs Childrens Therapy - Fl LLC Behavioral Analyst 5491 Dolphin Point Blvd, Jacksonville, FL 32211 2020-10-27
1700412822 Marie Vernal Social Worker 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 2020-03-20
1992336895 Dolphin Pointe Health Care, LLC Skilled Nursing Facility 5355 Dolphin Point Rd., Jacksonville, FL 32211 2020-01-29
1366089641 Prophetic Healing Deliverance Ministry of Mysteries, Inc Counselor 8550-2 Lone Star Road, Jacksonville, FL 32211 2019-12-05
1922656370 Timothy Richard Barron Behavior Technician 5633 Clifton Ln, Jacksonville, FL 32211 2019-08-29
1023583325 Linnzi Marks Behavioral Analyst 6014 Wateredge Ln, Jacksonville, FL 32211 2018-10-12
1780160192 Ganesh Healthcare of Jax LLC Alzheimer Center (Dementia Center) 644 Cesery Blvd Ste 150, Jacksonville, FL 32211 2018-07-18
1902397276 Chandra Harris Washington In Home Supportive Care 2712 Gaillardia Rd, Jacksonville, FL 32211 2018-05-22
1043730062 Monica R Iskander Dentist 465 University Blvd N, Jacksonville, FL 32211 2017-06-21
1205366895 Lilibeth Bundang Adona Custodial Care Facility 1818 Townsend Blvd, Jacksonville, FL 32211 2017-06-15
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326670357 Blackstone Home Healthcare LLC Public Health or Welfare 101 Century 21 Dr Ste 208, Jacksonville, FL 32216-9293 2020-02-07
1427413855 Lindsey Pest Services Inc. Public Health or Welfare 9168 Parker Ave, Jacksonville, FL 32218-5758 2015-12-30
1174840292 National Mentor Healthcare, LLC Public Health or Welfare 10 Dewitt St, Jacksonville, NC 28540-5649 2010-04-29
1730398827 Cherokee County Health Department Public Health or Welfare 510 East Commerce, Jacksonville, TX 75766 2007-05-22
1316974595 County of Morgan Health Dept Public Health or Welfare 345 W State Street, Jacksonville, IL 62650-1879 2006-06-26
1093781064 Cms Jacksonville Public Health or Welfare 910 North Jefferson Street, Jacksonville, FL 32209-6810 2006-02-28
1568448587 County of Onslow Public Health or Welfare 234 Nw Corridor Blvd, Jacksonville, NC 28540-5309 2005-12-21
1922616788 May Enterprises LLC Public Health or Welfare 12724 Gran Bay Pkwy W Ste 410, Jacksonville, FL 32258-9486 2020-07-17
1700369857 Theresa Council LLC Public Health or Welfare 2815 Melson Ave, Jacksonville, FL 32254-1853 2018-09-13
1134619208 Omega Health and Nutrition LLC Public Health or Welfare 2624 Atlantic Blvd, Jacksonville, FL 32207-3609 2018-05-15
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Competitor

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City JACKSONVILLE
Zip Code 32211

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Dataset Information

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.

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