FLORIDA DEPARTMENT OF HEALTH


Address: 3700 W Sovereign Path, Lecanto, FL 34461-8071
Phone: 3525270068

FLORIDA DEPARTMENT OF HEALTH (NPI# 1164493664) 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) 1164493664
Entity Type Organization
Organization Name FLORIDA DEPARTMENT OF HEALTH
Other Organization Name CITRUS COUNTY HEALTH DEPARTMENT
Practice Address 3700 W Sovereign Path
Lecanto
FL 34461-8071
Practice Telephone 3525270068
Practice Fax Number 3525278858
Mailing Telephone 3525270068
Mailing Fax Number 3525278858
Enumeration Date 2006-02-01
Last Update Date 2009-12-29
Authorized Official Name MS. GOODMAN TERESA (ASSISTANT DIRECTOR)
Authorized Official Telephone 3525270068
Authorized Official Credential ARNP
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 027919601 05
FL 027919605 05
FL BLUE CROSS BLUE SHIELD 72404 01
FL 027919625 05
FL 027919630 05
FL 027919603 05
FL 027919602 05
FL 027919600 05
FL 103881600 05
FL 027919604 05
FL NPI 1164493664 01

Other Provider/Organization Names

Other Name Type Code
Citrus 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 3700 W SOVEREIGN PATH
City LECANTO
State FL
Zip Code 34461-8071

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396282612 Raquel Gonzalez Dental Hygienist 3700 W Sovereign Path, Lecanto, FL 34461-8071 2017-01-24
1689116519 Jennifer Ann Cruz Nurse Practitioner 3700 W Sovereign Path, Lecanto, FL 34461-8071 2016-11-09
1326421199 Cindy Michelle Floyd Nurse Practitioner 3700 W Sovereign Path, Lecanto, FL 34461-8071 2015-06-29
1407288087 Karen Gidden Dietitian, Registered 3700 W Sovereign Path, Lecanto, FL 34461-8071 2013-08-06
1245523059 Citrus County Health Department Community/Behavioral Health 3700 W Sovereign Path, Lecanto, FL 34461-8071 2011-05-26
1467694810 Florida Department of Health Citrus County Health Department Clinic/Center 3700 W Sovereign Path, Lecanto, FL 34461-8071 2009-04-01
1457544264 Austin Primis Family Medicine 3700 W Sovereign Path, Lecanto, FL 34461-8071 2007-08-24
1073722989 Melissa S Heil Dietitian, Registered 3700 W Sovereign Path, Lecanto, FL 34461-8071 2007-05-21
1871649251 Carol W Burke Nutritionist 3700 W Sovereign Path, Lecanto, FL 34461-8071 2007-01-26
1548351745 Barbara I. Foster Registered Nurse 3700 W Sovereign Path, Lecanto, FL 34461-8071 2006-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891261160 Shekinah Barfield Physician Assistant Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 2018-10-15
1699240887 Medical Risk Solutions Family Medicine 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 2018-10-04
1851848097 Pedim Outreach and Specialty Clinic LLC Family Medicine 1982 N Prospect Ave, Lecanto, FL 34461 2016-09-06
1265776579 Wal-mart Stores East Lp Technician/Technologist 1936 N. Lecanto Hwy, Lecanto, FL 34461 2012-11-27
1922306109 Pediatric and Internal Medicine Specialists, Pa Clinic/Center 1980 North Prospect Avenue, Lecanto, FL 34461 2011-03-11
1942459078 Crq Enterprises LLC Home Health 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 2008-09-12
1548418064 Thomas Tybeck Counselor 324 S Kensington Ave Ste 328, Lecanto, FL 34461 2008-09-09
1356533566 Amanda Nicole Coppedge Optometrist 240 N. Lecanto Hwy., Lecanto, FL 34461 2007-08-11
1679779185 Brashears Vital Care Corp Pharmacy 471 N Dacie Pt, Lecanto, FL 34461 2007-06-22
1285751099 Interim Healthcare Private Services, Inc. Home Health 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 2007-03-25
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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 state

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
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Competitor

Search similar providers

City LECANTO
Zip Code 34461

Improve Information

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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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