Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
FLORIDA DEPARTMENT OF HEALTH IN POLK COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
JOY JACKSON MD (DIRECTOR)
(863) 519-7900
Entity
Organization
Contact information
Practice address
3241 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2266
(863) 413-2620
(863) 499-2612
Mailing address
1290 GOLFVIEW AVE, ATTN: ACCOUNTS RECEIVABLES, BARTOW, FL 33830-6740
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027963300
—
FL
Enumeration date
10/03/2005
Last updated
08/06/2019
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