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Organization

FLORIDA DEPARTMENT OF HEALTH

Active
Parent organization
FLORIDA DEPARTMENT OF HEALTH
Other names
Lee County Health Department
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Authorized official
MS. ANGELA M. SMITH BS, MHA (ADMINISTRATOR)
(239) 461-6150
Entity
Organization

Contact information

Practice address
2295 VICTORIA AVE FL 2, FORT MYERS, FL 33901-3884
(239) 461-6119
(239) 461-6153
Mailing address
83 PONDELLA RD, NORTH FORT MYERS, FL 33903-4411
(239) 461-6119
(239) 461-6153

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0279463
FL
01
115135
AMERIGROUP FL INC
FL
Enumeration date
02/01/2006
Last updated
07/11/2019
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