Organization
FLORIDA DEPARTMENT OF HEALTH
Active
Other names
Hendry County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY LYNN THOMAS (BUSINESS MANAGER)
(863) 674-4056
Entity
Organization
Contact information
Practice address
1140 PRATT BLVD, LABELLE, FL 33935-4405
(863) 674-4056
(863) 674-4076
Mailing address
PO BOX 70, LABELLE, FL 33975-0070
(863) 674-4056
(863) 674-4076
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77048
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/14/2006
Last updated
08/22/2020
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