Florida Department of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

FLORIDA DEPARTMENT OF HEALTH

Practice address

1100 Loveland Blvd
Port Charlotte, FL 33980

Phone

(941) 624-7200

Fax

(941) 624-7274

NPI assigned

Mar 19, 2007

Last updated

Dec 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph D Pepe

Title

Director

Phone

(941) 624-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Claudine E. Bowie, ARNP, FNP-C

  • Family Nurse Practitioner
  • North Port, FL
  • NPI 1619499332
  Medicare reassignment NPD
• Ndubuisi Christopher Edeoga, MD

  • Infectious Disease Physician
  • Port Charlotte, FL
  • NPI 1497919039
  Medicare reassignment NPD
• Zhyrma Angelica Monzon Canales

  • Family Nurse Practitioner
  • Tavares, FL
  • NPI 1790261501
  Medicare reassignment NPD
• Kerrie Peacock-Preston, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1861454126
  Medicare reassignment NPD
• Andrea Sciberras, D.O.

  • Internal Medicine Physician
  • Dania Beach, FL
  • NPI 1477645661
  Medicare reassignment NPD
• Cathy Lynn Frazier, ARNP

  • Family Nurse Practitioner
  • Albany, OR
  • NPI 1952778839

  FL

  Medicare reassignment NPD
• Tanya Hartman, APRN, FNP-C

  • Nurse Practitioner
  • Blue Ridge, GA
  • NPI 1841812922

  FL

  Medicare reassignment NPD
• Kristina Crook

  • Neurology Physician
  • Port Charlotte, FL
  • NPI 1740610062
  NPD

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1245354943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339801802",
            "telephone_number": "941-624-7200",
            "fax_number": "941-624-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33980",
            "telephone_number": "941-624-7200",
            "fax_number": "941-624-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6868 San Casa Dr",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342247910",
            "country_code": "US",
            "telephone_number": "941-624-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "PEPE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-624-7200"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052044600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Stiltner Fletcher, COTA
• Adelina Cortes Flores, M.D.
• Florida Best Care Inc. (Granny Nannies)
• Florida Cancer Physicians Network LLC (Charlotte Radiation Oncology Center)
• Florida Cancer Specialists & Research Institute, LLC
• Florida Department of Veterans Affairs (Douglas Jacobson State Veterans Nursing Home)
• Florida Digestive Health Specialists (Gulf Comprehensive Gastroenterology, LLC)
• Florida Em-I Medical Services, PA
• Florida Emergency Dental Care, LLC
• Florida Eye and Laser Institute LLC

• Public Health or Welfare Agency in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.