Florida Departmentof Children and Families
Organization Active NPI Community/Retail Pharmacy · Pembroke Pines, FL
NPI 1235150293 · NPPES record last updated Mar 8, 2010
Key facts
- NPI
- 1235150293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH16231 (FL)
- Legal business name
- FLORIDA DEPARTMENTOF CHILDREN AND FAMILIES
- Practice address
- 800 E Cypress Dr
Pembroke Pines, FL 33025-4543 - Phone
- (954) 392-3027
- Fax
- (954) 392-3468
- NPI assigned
- Jul 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Diane Funston
- Title
- Hosp Admin
- Phone
- (954) 392-3050
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- FL Department of Childr
Locations
1317 Winewood Blvd
Ste 2
Tallahassee, FL 32399
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH16231 | FL | Yes |
| Institutional Pharmacy | 3336I0012X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
800 E Cypress Dr
Pembroke Pines, FL 33025-4543
Mailing address
1317 Winewood Blvd BLDG 2
Office of Revenue Management, Attn: Velma Bryant
Tallahassee, FL 32399-0700
Phone (850) 921-8749
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018109 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 026004500 | Medicaid | FL |
Other names
- S FL STATE HOSP
Other providers in Pembroke Pines, FL
- Maria J Flores
- Melania Flores
- Carlos Eduardo Florian Jr.
- Florida Department of Children and Families
- Florida Department of Veterans Affairs
- Florida ENT Associates , Inc.
- Florida ENT Associates, Inc.
- Florida ENT Associates, Inc.
- Florida ENT Associates, Inc.
- Florida Foot & Ankle Associates, LLC
All providers in Pembroke Pines, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.