Organization
ST JOSEPH CARE OF FLORIDA, INC.
Active
Other names
Gulf County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M KENT M.P.H. (ADMINISTRATOR)
(850) 227-1276
Entity
Organization
Contact information
Practice address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1794
Mailing address
2475 GARRISON AVE, PORT ST JOE, FL 32456-5265
(850) 227-1276
(850) 227-1794
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686728600
—
FL
05
—
686728601
—
FL
05
—
686728602
—
FL
05
—
686728604
—
FL
05
—
686728605
—
FL
Enumeration date
04/09/2007
Last updated
05/06/2014
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