Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
Florida Department of Health Liberty County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE G. CHARBONNEAU DO (DIRECTOR)
(850) 643-2415
Entity
Organization
Contact information
Practice address
12832 NW CENTRAL AVE, BRISTOL, FL 32321
(850) 643-2415
(850) 643-5689
Mailing address
PO BOX 489, BRISTOL, FL 32321-0489
(850) 643-2415
(850) 643-5689
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2007
Last updated
11/28/2007
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