NPIMap

Organization Active NPI

Florida Dept. of Health

  • Public Health or Welfare Agency
  • Orange City, FL
National Provider Identifier
1508983669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
PH12890 Issued in FL
Legal business name
FLORIDA DEPT. OF HEALTH
Practice address
1061 Medical Center Dr
Suite 100
Orange City, FL 32763-8200
Phone
(386) 274-0790
Fax
(386) 274-0800
NPI assigned
Mar 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Coleman, MD
Title
Director
Phone
(386) 274-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X PH12890 FL Primary

Addresses

Primary practice location

1061 Medical Center Dr
Suite 100
Orange City, FL 32763-8200

Mailing address

PO Box 9190
Daytona Beach, FL 32120-9190
Phone (386) 274-0790

National Provider Directory

National Provider Directory
Tax ID family
Agape Community Health185 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1061 Medical Center Dr
Ste 100
Orange City, FL 32763
Phone (386) 274-0790

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508983669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321209190",
            "telephone_number": "386-274-0790",
            "fax_number": "386-274-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638200",
            "telephone_number": "386-274-0790",
            "fax_number": "386-274-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPT. OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-274-0790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "PH12890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.