STATE OF FLORIDA NPI 1104003995

NPI Information

  • NPI: 1104003995
  • Provider Name: STATE OF FLORIDA
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: GULF COUNTY HEALTH DEPARTMENT
  • Address: 2475 GARRISON AVE
    PORT SAINT JOE, FL
    ZIP 32456
  • Phone: (850) 227-1276

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NPI Details

STATE OF FLORIDA is a primary care clinic center in Port Saint Joe, FL. STATE OF FLORIDA NPI is 1104003995. The provider is registered as an organization entity type.
The provider Is Doing Business As Gulf County Health Department.

The provider's business location address is:

2475 GARRISON AVE
PORT SAINT JOE, FL
ZIP 32456-265
Phone: (850) 227-1276

The provider's authorized official is Marsha Lindermann .
The authorized official title is Administrator and has the following contact phone number (850) 227-1276.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 4/27/2012.

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
1261QP2300XClinic/CenterPrimary CareARNP 9179453FLORIDAYes

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 Other Provider Identifier Issuer
1101944MEDICARE OSCAR/CERTIFICATIONFLORIDA
2101844MEDICARE OSCAR/CERTIFICATIONFLORIDA

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: 11/21/2025

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