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Organization

FLORIDA DEPARTMENT OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH D PEPE (DIRECTOR)
(941) 624-7200
Entity
Organization

Contact information

Practice address
1100 LOVELAND BLVD, PORT CHARLOTTE, FL 33980
(941) 624-7200
(941) 624-7274
Mailing address
1100 LOVELAND BLVD, PORT CHARLOTTE, FL 33980-1802
(941) 624-7200
(941) 624-7274

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
052044600
FL
Enumeration date
03/19/2007
Last updated
12/10/2025
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