Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Parent organization
FL DEPARTMENT OF HEALTH
Other names
Lafayette County Health Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
FL DEPARTMENT OF HEALTH
Authorized official
MR. KERRY S WALDRON (ADMINISTRATOR)
(386) 362-2708
Entity
Organization
Contact information
Practice address
140 SW VIRGINIA CIR, MAYO, FL 32066-4064
(386) 294-1321
(386) 294-3876
Mailing address
PO BOX 6030, LIVE OAK, FL 32064-6030
(386) 362-2708
(386) 362-6301
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029034300
—
FL
Enumeration date
03/02/2006
Last updated
07/11/2019
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