# FLORIDA DEPT. OF HEALTH

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

## Provider details

- **NPI number:** 1508983669
- **Authorized official:** THOMAS COLEMAN MD (DIRECTOR)
- **Authorized official phone:** (386) 274-0790

## Contact information

- **Practice address:** 1061 MEDICAL CENTER DR, SUITE 100, ORANGE CITY, FL 32763-8200
- **Practice address phone:** (386) 274-0790
- **Practice address fax:** (386) 274-0800
- **Mailing address:** PO BOX 9190, DAYTONA BEACH, FL 32120-9190
- **Mailing address phone:** (386) 274-0790
- **Mailing address fax:** (386) 274-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | PH12890 | FL | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 08/22/2020