FLORIDA DEPARTMENT OF HEALTH (NPI# 1639148919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639148919 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF HEALTH |
| Other Organization Name | MONROE COUNTY |
| Practice Address |
1100 Simonton St Key West FL 33040-3110 |
| Mailing Address |
Po Box 6193 Key West FL 33040-3110 |
| Practice Telephone | 3052937500 |
| Practice Fax Number | 3052926872 |
| Mailing Telephone | 3052937500 |
| Mailing Fax Number | 3052926872 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-05-19 |
| Authorized Official Name | MR. ROBERT EADIE (ADMINSTRATOR) |
| Authorized Official Telephone | 3058095610 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0279544 00 | 05 | |
| FL | THIRD PARTY | AY168 | 01 |
| Other Name | Type Code |
|---|---|
| Monroe County | Other Name - Individual/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 |
1100 SIMONTON ST |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356314934 | Mark Eric Whiteside | Internal Medicine | 1100 Simonton St, Key West, FL 33040-3110 | 2006-02-13 |
| 1194372912 | Alyssa Suggs | Nurse Practitioner | 1100 Simonton St, Key West, FL 33040-3110 | 2019-08-26 |
| 1144521279 | Dana Lynn Portillo | Registered Nurse | 1100 Simonton St, Key West, FL 33040-3110 | 2010-11-05 |
| 1134315609 | Talley Anne Reeb | Registered Nurse | 1100 Simonton St, Key West, FL 33040-3110 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932851 | Florida State Nurse Registry | Clinic/Center | 290 Citrus Tower Blvd Ste 229, Clermont, FL 34711-2786 | 2020-11-02 |
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1467068817 | Health Coach Direct Primary Care Practice Pllc | Clinic/Center | 12300 Alternate A1a Ste 106, Palm Beach Gardens, FL 33410-2206 | 2020-09-21 |
| 1275166431 | Hope Community Mental Health Corp | Clinic/Center | 4801 Nw 7th St Apt 208, Miami, FL 33126-2142 | 2020-02-17 |
| 1598303208 | Harmony Healthcare Orlando Inc | Clinic/Center | 1400 S Orlando Ave Ste 204, Winter Park, FL 32789-5543 | 2019-12-12 |
| 1437705357 | True Care, Inc | Clinic/Center | 20451 S Tamiami Trl Ste 1, Estero, FL 33928-8101 | 2019-08-15 |
| 1689228884 | Greater Harvest Community Outreach Life Center | Clinic/Center | 4888 Nw 183rd St Ste 215, Miami Gardens, FL 33055-2943 | 2019-07-26 |
| 1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
| 1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
| 1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
| 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.