Organization
FLORIDA DEPARTMENT OF HEALTH, CHILDREN'S MEDICAL SERVICES HEALTH PLAN
Active
Other names
CMS Health Plan Region 11
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA GARY (DIRECTOR)
(850) 245-4738
Entity
Organization
Contact information
Practice address
2585 MERCHANTS ROW BLVD, TALLAHASSEE, FL 32399-6607
(850) 245-4200
(850) 617-6466
Mailing address
4052 BALD CYPRESS WAY BIN #A06, TALLAHASSEE, FL 32399-1707
(850) 245-4200
(850) 617-6466
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100992711
—
FL
Enumeration date
02/02/2022
Last updated
02/02/2022
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