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Organization

FLORIDA DEPARTMENT OF HEALTH

Active
Other names
DeSoto County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MARY KAY BURNS RN,BSN,MBA (ADMINISTRATOR)
(863) 993-4601
Entity
Organization

Contact information

Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
(863) 993-4606
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
(863) 993-4606

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
207V00000X
Obstetrics & Gynecology Physician
208D00000X
General Practice Physician
251K00000X
Public Health or Welfare Agency
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027924291
FL
01
97073
BCBS PROVIDER FOR DCHD
FL
Enumeration date
09/11/2006
Last updated
02/04/2025
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