Florida Department of Health

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

3979 Issued in FL

Legal business name

FLORIDA DEPARTMENT OF HEALTH

Practice address

1199 W Lantana Rd
Lantana, FL 33462-1514

Phone

(561) 582-5666

Fax

(561) 540-3788

NPI assigned

Jan 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maria Gomez

Title

Medical Admin. Services Coordinator

Phone

(561) 540-3377

Specialties & licenses 1

Addresses

Other names 1

• A.G. Holley Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1093786667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 W LANTANA RD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621514",
            "telephone_number": "561-582-5666",
            "fax_number": "561-540-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 W LANTANA RD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621514",
            "telephone_number": "561-582-5666",
            "fax_number": "561-540-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MEDICAL ADMIN. SERVICES COORDINATOR",
        "authorized_official_telephone_number": "561-540-3377",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "FL",
            "license": "3979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.G. Holley Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gesner Fable
• Christine Familia, MD
• Farm Pulido
• Jacqueline Bell Farrell, OTR
• Felicity Services Group, LLC
• Florida Department of Health
• Florida Detox Group, LLC
• Florida Loving Care LLC
• Pamela Elaine Forecki, ARNP
• Alexandra Franc

• Chronic Disease Hospital in Lantana, FL
• Providers in Lantana, FL by specialty
• Chronic Disease Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.