# STATE OF FLORIDA, DOH, BCHD

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

## Provider details

- **NPI number:** 1588727598
- **Authorized official:** MS. KATHRYN ANN RILEY LD (SENIOR PUBLIC HEALTH NUTRITIONIST)
- **Authorized official phone:** (850) 872-4666

## Contact information

- **Practice address:** 597 W 11TH ST, PANAMA CITY, FL 32401-2330
- **Practice address phone:** (850) 872-4666
- **Mailing address:** 597 W 11TH ST, PANAMA CITY, FL 32401-2330
- **Mailing address phone:** (850) 872-4666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | ND 3566 | FL | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 06/25/2008