# FLORIDA DEPARTMENT OF HEALTH

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

## Provider details

- **NPI number:** 1568736353
- **Authorized official:** MRS. KELLY E KING (OMC MANAGER)
- **Authorized official phone:** (850) 643-2415

## Contact information

- **Practice address:** 12832 NW CENTRAL AVE, BRISTOL, FL 32321-6918
- **Practice address phone:** (850) 643-2415
- **Practice address fax:** (850) 643-5689
- **Mailing address:** 12832 NW CENTRAL AVE, P O BOX 489, BRISTOL, FL 32321-6918
- **Mailing address phone:** (850) 643-2415
- **Mailing address fax:** (850) 643-5689

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2012
- **Last updated:** 02/27/2012