# FLORIDA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295703361
- **Authorized official:** ROBERT G. HERRON (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (850) 245-4512

## Contact information

- **Practice address:** 4052 BALD CYPRESS WAY, BIN AO5, TALLAHASSEE, FL 32399-7021
- **Practice address phone:** (850) 245-4036
- **Mailing address:** 4052 BALD CYPRESS WAY, BIN AO5, TALLAHASSEE, FL 32399-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 07/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6822991 | — | FL |