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Organization

FLORIDA DEPARTMENT OF HEALTH

Active
Parent organization
FLORIDA DEPARTMENT OF HEALTH
Other names
Florida Health in St. Lucie County
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Authorized official
MR. CLINT J SPERBER (ADMINISTRATOR)
(772) 462-3800
Entity
Organization

Contact information

Practice address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 462-3800
(772) 462-3865
Mailing address
5150 NW MILNER DR, PORT ST LUCIE, FL 34983-3392
(772) 468-3800
(772) 871-5361

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
ME91352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00310
MEDICARE
FL
05
027966800
FL
Enumeration date
10/23/2006
Last updated
04/04/2025
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