NPI 1568736353
Florida Department of Health
Practice location
- Address
- 12832 NW Central Ave, Bristol, FL 32321-6918
- Phone
- (850) 643-2415
- Fax
- (850) 643-5689
- Mailing address
- 12832 NW Central Ave P O Box 489, Bristol, FL 32321-6918
Authorised official
- Name
- Kelly E King
- Title
- Omc Manager
- Phone
- (850) 643-2415
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1568736353
- Entity type
- Organization
- NPI issued
- 27 Feb 2012
- Record last updated
- 27 Feb 2012
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.