# FLORIDA DEPARTMENT OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA DEPARTMENT OF HEALTH
- **Other names:** Jackson County Health Department
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487724969
- **Legal business name:** FLORIDA DEPARTMENT OF HEALTH
- **Authorized official:** MRS. SUSANNAH CULBREATH (BILLING ADMINISTRATOR)
- **Authorized official phone:** (850) 526-2412

## Contact information

- **Practice address:** 4979 HEALTHY WAY, MARIANNA, FL 32446-7993
- **Practice address phone:** (850) 526-2412
- **Practice address fax:** (850) 718-0383
- **Mailing address:** 4979 HEALTHY WAY, PO BOX 310, MARIANNA, FL 32446-7993
- **Mailing address phone:** (850) 526-2412
- **Mailing address fax:** (850) 718-0383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | ME86600 | FL | — |
| 251K00000X | Public Health or Welfare Agency | ME86600 | FL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 10/14/2024