FLORIDA DEPARTMENT OF HEALTH NPI 1205013232

NPI Information

NPI: 1205013232
Provider Name: FLORIDA DEPARTMENT OF HEALTH

Doing Business As: DUVAL COUNTY HEALTH DEPARTMENT

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
120 KING ST
MC 75
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 253-2785
Get Directions

FLORIDA DEPARTMENT OF HEALTH is a federally qualified health center (fqhc) clinic center in Jacksonville, FL. FLORIDA DEPARTMENT OF HEALTH NPI is 1205013232. The provider is registered as an organization entity type.
The provider Is Doing Business As Duval County Health Department.

The provider's business location address is:

120 KING ST
MC 75
JACKSONVILLE, FL
ZIP 32204-410
Phone: (904) 253-2785
Fax: (904) 253-1961

The provider's authorized official is Kelli T Wells .
The authorized official title is Director and has the following contact phone number (904) 253-2062.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 12/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare			FLORIDA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	101979	MEDICARE OSCAR/CERTIFICATION	FLORIDA
2	6905561-01	MEDICAID	FLORIDA
3	6905561-00	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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