Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Parent organization
FLORIDA DEPARTMENT OF HEALTH
Other names
Hardee County Health Department, HARDEE COUNTY HEALTH DEPARTMENT, HARDEE COUNTY HELATH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DEPARTMENT OF HEALTH
Authorized official
EVELYN DELILAH MISHOE (FISCAL ASSISTANT II)
(863) 473-6073
Entity
Organization
Contact information
Practice address
115 K D REVELL RD, WAUCHULA, FL 33873
(863) 773-4161
(863) 773-0978
Mailing address
115 K D REVELL RD, WAUCHULA, FL 33873-2051
(863) 773-4161
(863) 773-0978
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027935800
—
FL
05
—
027935801
—
FL
05
—
027935802
—
FL
05
—
027935803
—
FL
05
—
027935804
—
FL
05
—
027935809
—
FL
05
—
027935830
—
FL
01
—
99130
BC/BS GROUP NUMBER
FL
01
—
CH8202
RAILROAD MEDICARE
FL
Enumeration date
02/27/2006
Last updated
07/26/2018
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