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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | ========= | FL | Agencies |
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 Name | Type Code |
---|---|
Citrus County Health Department | 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 |
3700 W SOVEREIGN PATH |
City | LECANTO |
State | FL |
Zip Code | 34461-8071 |
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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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 |
Find all providers in zip 34461 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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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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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.