Provider Demographics
NPI:1487619714
Name:FLORIDA DEPARTMENT OF HEALTH
Entity type:Organization
Organization Name:FLORIDA DEPARTMENT OF HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHD DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ULYEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-820-4221
Mailing Address - Street 1:205 DR MARTIN LUTHER KING JR ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3109
Mailing Address - Country:US
Mailing Address - Phone:727-824-6900
Mailing Address - Fax:727-820-4294
Practice Address - Street 1:205 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3109
Practice Address - Country:US
Practice Address - Phone:727-824-6900
Practice Address - Fax:727-820-4294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027962506Medicaid
FL027962541Medicaid
FL027962502Medicaid
FL027962505Medicaid
FL027962571Medicaid
FL027962503Medicaid
FL027962504Medicaid
FL027962590Medicaid
FL027962507Medicaid
FL027962521Medicaid
FL027962530Medicaid
FL027962505Medicaid