Organization
SANTA ROSA COUNTY HEALTH DEPARTMENT - DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN A DEVORE JONES MSPH (ADMINISTRATOR)
(850) 983-5200
Entity
Organization
Contact information
Practice address
5527 STEWART ST, MILTON, FL 32570-4303
(850) 983-5200
(850) 983-4816
Mailing address
PO BOX 929, 5527 STEWART ST, MILTON, FL 32572-0929
(850) 983-5200
(850) 983-4816
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02796760
—
FL
Enumeration date
02/27/2007
Last updated
08/22/2020
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