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Organization
FLORIDA DOH
Active
Organization
FLORIDA DOH
Active
Parent organization
STATE OF FLORIDA DEPARTMENT OF HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF FLORIDA DEPARTMENT OF HEALTH
Authorized official
DR. DHARAMRAJ CLAUDE M.D. (DIRECTOR)
(727) 824-6900
Entity
Organization
Contact information
Practice address
205 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33701-3109
(727) 824-6900
(727) 820-4275
Mailing address
205 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33701-3109
(727) 824-6900
(727) 820-4275
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
ME0037797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06973100
—
FL
Enumeration date
03/12/2013
Last updated
03/12/2013
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