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Organization

FLORIDA DEPARTMENT OF HEALTH

Active
Other names
, Suwannee County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA BLACKMON RN, BSN, MPH (ADMINISTRATOR)
(386) 362-2708
Entity
Organization

Contact information

Practice address
120 SUWANNEE AVE, BRANFORD, FL 32008
(386) 935-1133
(386) 935-1362
Mailing address
PO BOX 268, BRANFORD, FL 32008-0268
(386) 935-1133
(386) 935-1362

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051832800
FL
05
051832809
FL
05
051832892
FL
Enumeration date
11/02/2006
Last updated
05/05/2010
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