FLORIDA DEPARTMENT OF HEALTH (NPI# 1043245038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043245038 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF HEALTH |
| Other Organization Name | DOH BUREAU OF LABORATORIES - LANTANA |
| Practice Address |
1217 N Pearl St Jacksonville FL 32202-3926 |
| Mailing Address |
1199 Lantana Rd Bldg 31 Lantana FL 33462-1514 |
| Practice Telephone | 9047911690 |
| Practice Fax Number | 9047911626 |
| Mailing Telephone | 5615401170 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | DR. ROBERTA LOPEZ (LANTANA LAB DIRECTOR) |
| Authorized Official Telephone | 5615401170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 800000290 | FL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BC/BS | L8322 | 01 |
| FL | 030737800 | 05 |
| Other Name | Type Code |
|---|---|
| DOH Bureau of Laboratories - Lantana | 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 |
1217 N PEARL ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32202-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639105323 | Doh Bureau of Laboratories | Clinical Medical Laboratory | 1217 N Pearl St, Jacksonville, FL 32202-3926 | 2006-06-24 |
| 1093138760 | State of Florida | Clinical Medical Laboratory | 1217 N Pearl St, Jacksonville, FL 32202-3926 | 2014-01-30 |
| 1184659450 | Florida Department of Health | Clinical Medical Laboratory | 1217 N Pearl St, Jacksonville, FL 32202-3926 | 2006-07-12 |
| 1851326284 | Florida Department of Health | Clinical Medical Laboratory | 1217 N Pearl St, Jacksonville, FL 32202-3926 | 2006-07-12 |
| 1821023011 | Florida Department of Health | Clinical Medical Laboratory | 1217 N Pearl St, Jacksonville, FL 32202-3926 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 1801376629 | Shelletta Baker | Home Delivered Meals | 303 N Laura St, Jacksonville, FL 32202 | 2018-08-21 |
| 1083132591 | Shelia Yvonne Newby | Home Health Aide | 220 Riverside Ave, Unit 404, Jacksonville, FL 32202 | 2017-09-05 |
| 1164728010 | Dina Maria Fedor | Nurse Practitioner | 500 E Adams St, Jacksonville, FL 32202 | 2011-02-09 |
| 1689695611 | Maryam M Pasha | Emergency Medicine | 221 N. Hogan St, 401, Jacksonville, FL 32202 | 2006-07-23 |
| 1629174917 | Jose A Santana | Internal Medicine | 3625 University Blvd S, Emergency Department, Jacksonville, FL 32202 | 2006-09-15 |
| 1518197912 | Pleasant Living Facility, Inc. | Assisted Living Facility | 1543 Hill St, Jacksonville, FL 32202-1405 | 2009-07-20 |
| 1083803647 | Pleasant Living Facility Inc | Assisted Living Facility | 1543 Hill Street, Jax, FL 32202-1405 | 2007-10-19 |
| 1982003745 | Sheila Freeman | Social Worker | 300 E State St, Jacksonville, FL 32202-1601 | 2014-08-18 |
| 1861999625 | Bianca Holcombe | Counselor | 1010 E Adams St Ste 1111013, Jacksonville, FL 32202-1902 | 2018-04-09 |
| Find all providers in zip 32202 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252601 | Patient Care Labatories, Inc | Clinical Medical Laboratory | 6950 Philips Hwy Ste 36, Jacksonville, FL 32216-6086 | 2020-07-13 |
| 1770137754 | River Town Diagnostics LLC | Clinical Medical Laboratory | 8563 Argyle Business Loop Ste 5, Jacksonville, FL 32244-6613 | 2019-07-29 |
| 1982193330 | Superior Clinical Labs, LLC | Clinical Medical Laboratory | 7685 103rd St Ste 1a, Jacksonville, FL 32210-9326 | 2018-05-01 |
| 1942716378 | Mccall & Erler, LLC | Clinical Medical Laboratory | 3604 University Blvd S Ste 103, Jacksonville, FL 32216-4209 | 2017-12-21 |
| 1952825481 | First Coast Laboratories | Clinical Medical Laboratory | 6900 Southpoint Dr N Ste 100, Jacksonville, FL 32216-8008 | 2017-07-26 |
| 1750839262 | Ace Biomedical Labs, LLC | Clinical Medical Laboratory | 3726 Beach Blvd, Jacksonville, FL 32207-3814 | 2016-09-13 |
| 1700255841 | First Coast Pathology Associates, LLC | Clinical Medical Laboratory | 9421 Waypoint Place, Jacksonville, FL 32257 | 2015-09-18 |
| 1396074720 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 8384 Baymeadows Rd Ste 1b, Jacksonville, FL 32256-7486 | 2009-12-14 |
| 1407016645 | University of Florida Jacksonville Physicians Inc | Clinical Medical Laboratory | 655 W 11th St, Jacksonville, FL 32206-3516 | 2008-06-11 |
| 1174558431 | Florida Department of Health | Clinical Medical Laboratory | 1217 Pearl St, Jacksonville, FL 32202-3926 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32202 |
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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.