NPI 1063165751

Florida Department of Health, Children's Medical Services Health Plan

Organisation Public Health or Welfare Agency Tallahassee, FL

Practice location

Address: 2585 Merchants Row Blvd, Tallahassee, FL 32399-6607
Phone: (850) 245-4200
Fax: (850) 617-6466
Mailing address: 4052 Bald Cypress Way Bin #a06, Tallahassee, FL 32399-1707

Authorised official

Name: Andrea Gary
Title: Director
Phone: (850) 245-4738

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

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Registry record

NPI: 1063165751
Entity type: Organization
NPI issued: 2 Feb 2022
Record last updated: 2 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.