Active NPI
Florida Department of Health
Doing business as Osceola Health Department
- Public Health or Welfare Agency
- Kissimmee, FL
National Provider Identifier
1487629200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- FLORIDA DEPARTMENT OF HEALTH
- Doing business as
- Osceola Health Department
- Practice address
- 1875 Fortune Rd
Kissimmee, FL 34744-4428 - Phone
- (407) 343-2000
- NPI assigned
- Feb 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Judith Cruz
- Title
- Accounting Services Supervisor
- Phone
- (407) 343-2081
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1875 Fortune Rd
Kissimmee, FL 34744-4428
Mailing address
1875 Fortune Rd
Kissimmee, FL 34744-4428
Phone (407) 343-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027959500 | Medicaid | FL |
Other names 1
- Osceola Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100505000522 | FL | Part B Supplier - Clinic/Group Practice | 3072424282 |
Receives reassigned benefits from 5 practitioners Practice locations: Kissimmee, FL |
National Provider Directory
National Provider DirectoryLocations
107 N Doverplum Ave
Kissimmee, FL 34758
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Walton Community Health Center | Federally qualified health center | Operational/Managerial Control (100%) | Sep 7, 2010 |
| Bradford Community Health Care Inc | Federally qualified health center | Operational/Managerial Control (100%) | Oct 1, 2013 |
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Kissimmee, FL
- NPI 1902931363
-
- Infectious Disease Physician
- Kissimmee, FL
- NPI 1144272295
-
- Family Nurse Practitioner
- St Petersburg, FL
- NPI 1609119205
-
- Physician Assistant
- Jacksonville, FL
- NPI 1861454126
-
- Internal Medicine Physician
- Dania Beach, FL
- NPI 1477645661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1487629200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 FORTUNE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444428",
"telephone_number": "407-343-2000",
"fax_number": "407-343-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 FORTUNE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444428",
"telephone_number": "407-343-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA DEPARTMENT OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "CRUZ",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "ACCOUNTING SERVICES SUPERVISOR",
"authorized_official_telephone_number": "407-343-2081",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027959500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Osceola Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.