NPIMap

Organization Active NPI

Florida Department of Health

  • Public Health or Welfare Agency
  • Branford, FL
National Provider Identifier
1891874707
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Practice address
120 Suwannee Ave
Branford, FL 32008
Phone
(386) 935-1133
Fax
(386) 935-1362
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Pamela Blackmon, RN, BSN, MPH
Title
Administrator
Phone
(386) 362-2708

Specialties & licenses 1

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

Addresses

Primary practice location

120 Suwannee Ave
Branford, FL 32008

Mailing address

PO Box 268
Branford, FL 32008-0268
Phone (386) 935-1133

Other identifiers 3

IdentifierTypeStateIssuer
051832800MedicaidFL
051832892MedicaidFL
051832809MedicaidFL

Other names 1

  • , Suwannee County Health Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dept of Health Central Pharmacy185 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

120 Suwannee Ave SW
Branford, FL 32008
Phone (386) 935-1133

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1891874707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "320080268",
            "telephone_number": "386-935-1133",
            "fax_number": "386-935-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SUWANNEE AVE",
            "city": "BRANFORD",
            "state": "FL",
            "postal_code": "32008",
            "telephone_number": "386-935-1133",
            "fax_number": "386-935-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-362-2708",
        "authorized_official_credential": "RN, BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051832800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051832892",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051832809",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": ", Suwannee County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.