Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Parent organization
FLORIDA DEPARTMENT OF HEALTH
Other names
Duval County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Authorized official
KELLI T WELLS M.D. (DIRECTOR)
(904) 253-2062
Entity
Organization
Contact information
Practice address
120 KING ST, MC 75, JACKSONVILLE, FL 32204-2410
(904) 253-2785
(904) 253-1961
Mailing address
900 UNIVERSITY BLVD., MC 75, MC 75, JACKSONVILLE, FL 32211
(904) 253-2062
(904) 253-1942
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
FL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6905561-00
—
FL
05
—
6905561-01
—
FL
Enumeration date
01/22/2008
Last updated
12/21/2015
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