Organization
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Active
Parent organization
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Other names
north florida evaluation and treatment center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Authorized official
CARMEN FOSMOE PHARM D (PHARMACY MANAGER)
(352) 415-6612
Entity
Organization
Contact information
Practice address
1200 NE 55TH BLVD, GAINESVILLE, FL 32641-2783
(352) 415-6612
Mailing address
1200 NE 55TH BLVD, GAINESVILLE, FL 32641-2783
(352) 415-6612
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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