Whalio Doctors

NPI 1558778779

Children's Home Society of Florida

Organisation Public Health or Welfare Agency St Augustine, FL

Practice location

Address
25 Deltona Blvd STE 5, St Augustine, FL 32086-4204
Phone
(904) 794-0268

Authorised official

Name
Brandon Merkley
Title
Outpatient Program Supervisor
Phone
(904) 794-0268

Registered specialties

Public Health or Welfare Agency Primary
Agencies Taxonomy 251K00000X Licence 07-1582-000-05 (FL)

Registry record

NPI
1558778779
Entity type
Organization
NPI issued
21 Jul 2014
Record last updated
21 Jul 2014

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.