Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
Flagler County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK JOHNSON R.N (ADMINISTRATOR)
(386) 437-7350
Entity
Organization
Contact information
Practice address
301 DR CARTER BLVD, BUNNELL, FL 32110-6212
(386) 437-7350
(386) 437-8207
Mailing address
301 DR CARTER BLVD, PO BOX 847, BUNNELL, FL 32110-6212
(386) 437-7350
(386) 437-8207
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027928500
—
FL
01
—
P00235603
RAILROAD MEDICARE
FL
01
—
X1583
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
02/28/2006
Last updated
02/12/2015
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