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Organization

FLORIDA DOH

Active
Parent organization
STATE OF FLORIDA DEPARTMENT OF HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF FLORIDA DEPARTMENT OF HEALTH
Authorized official
DR. DHARAMRAJ CLAUDE M.D. (DIRECTOR)
(727) 824-6900
Entity
Organization

Contact information

Practice address
205 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33701-3109
(727) 824-6900
(727) 820-4275
Mailing address
205 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33701-3109
(727) 824-6900
(727) 820-4275

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
ME0037797
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06973100
FL
Enumeration date
03/12/2013
Last updated
03/12/2013
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