FLORIDA DEPARTMENT OF HEALTH (NPI# 1376511915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376511915 |
| Entity Type | Organization |
| Organization Name | FLORIDA DEPARTMENT OF HEALTH |
| Other Organization Name | TAYLOR COUNTY HEALTH DEPARTMENT |
| Practice Address |
1215 N Peacock Ave Perry FL 32347-2117 |
| Practice Telephone | 8505845087 |
| Practice Fax Number | 8505848653 |
| Mailing Telephone | 8505845087 |
| Mailing Fax Number | 8505848653 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | MR. STEPHEN C. TULLOS (ADMINISTRATOR) |
| Authorized Official Telephone | 8505845087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 027972201 | 05 | |
| FL | 027972230 | 05 | |
| FL | 027972207 | 05 | |
| FL | 027972291 | 05 |
| Other Name | Type Code |
|---|---|
| Taylor 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 |
1215 N PEACOCK AVE |
| City | PERRY |
| State | FL |
| Zip Code | 32347-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467013466 | Macy Ely | Nurse Practitioner | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2019-06-21 |
| 1124418215 | Donna Knight | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2015-01-28 |
| 1780937664 | Rachel D Padgett | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2012-10-17 |
| 1467752428 | Duane James Barnes | Social Worker | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2010-10-25 |
| 1649370594 | Mary Jane Fish | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-09-22 |
| 1114937026 | Brenda L Newman | Advanced Practice Midwife | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-08-09 |
| 1992724876 | Laura L Early | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-19 |
| 1962421370 | Catharine H Jacob | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-18 |
| 1235158676 | Julie C Gaston | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-18 |
| 1063447290 | Alissa S Mcquiston | Registered Nurse | 1215 N Peacock Ave, Perry, FL 32347-2117 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225250764 | Advance Speech and Language Center | Speech-Language Pathologist | 214 North Washington Street, Perry, FL 32347 | 2007-05-03 |
| 1043386865 | Doctors Memorial Hospital | Radiology | Doctors Memorial Hospital, 333 N Byron Butler Parkway, Perry, FL 32347 | 2006-11-24 |
| 1467472282 | Firas A Hamdan | Otolaryngology | 1224 N Peacock Ave, Perry, FL 32347 | 2006-07-21 |
| 1841229333 | Miles V Nelson | Surgery | 1218 N Peacock Ave, Perry, FL 32347 | 2006-06-30 |
| 1679518187 | Diane A Schlick | Family Medicine | 616 S Jefferson Street, Perry, FL 32347 | 2006-06-18 |
| 1609233170 | Rachel Gilliam | Occupational Therapy Assistant | 207 Marshall Dr, Perry, FL 32347 | 2016-01-28 |
| 1184041741 | Pamela Sauls | Family Medicine | 315 E Ash St, Perry, FL 32347 | 2014-03-20 |
| 1356664924 | Jacqueline Bailey | Speech-Language Pathologist | 207 Marshall Dr, Perry, FL 32347 | 2010-03-10 |
| 1831511070 | Rebecca Carroll Wambolt | Speech-Language Pathologist | 1835 Oak Ridge Ln, Perry, FL 32347-0610 | 2014-01-07 |
| 1871130856 | Carestandard Corporation | Family Medicine | 688 A B Murphy Rd, Perry, FL 32347-0810 | 2019-12-09 |
| Find all providers in zip 32347 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009090 | Oklahoma State Deptartment of Health | Public Health or Welfare | 804 N. 7th St, Perry, OK 73077 | 2016-09-01 |
| 1073815296 | Visiting Nurse Services of Iowa | Public Health or Welfare | 1109 2nd St, Perry, IA 50220-1616 | 2010-11-19 |
| 1639253487 | Houston County Health Department - Perry | Public Health or Welfare | 2010 Kings Chapel Rd, Perry, GA 31069-2828 | 2006-10-25 |
| 1922483585 | City of Perry Fire Department | Public Health or Welfare | 732 Delaware St, Perry, OK 73077-6425 | 2015-07-24 |
| 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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| 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.