# FLORIDA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Suwannee County Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215973870
- **Authorized official:** MRS. PAMELA BLACKMON RN, BSN, MPH (ADMINISTRATOR)
- **Authorized official phone:** (386) 362-2708

## Contact information

- **Practice address:** 915 NOBLES FERRY RD, PO DRAWER 6030, LIVE OAK, FL 32064-2800
- **Practice address phone:** (386) 362-2708
- **Practice address fax:** (386) 362-6301
- **Mailing address:** PO DRAWER 6030, 915 NOBLES FERRY ROAD, LIVE OAK, FL 32064-2800
- **Mailing address phone:** (386) 362-2708
- **Mailing address fax:** (386) 362-6301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | FL | — |
| 124Q00000X | Dental Hygienist | — | FL | — |
| 126800000X | Dental Assistant | — | FL | — |
| 251K00000X | Public Health or Welfare Agency | — | FL | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 10/29/2012