Organization · Type 2 NPI

Florida Department of Health

Public Health or Welfare Agency · Mayo, FL

NPI number 1386611085 Active

Practice location

140 SW Virginia Cir
Mayo, FL 32066-4064

Call (386) 294-1321 Map

Fax (386) 294-3876

Mailing address

PO Box 6030
Live Oak, FL 32064-6030

Specialties and licenses

Taxonomy	Code	License
Public Health or Welfare Agency Primary	251K00000X	None listed

Public Health or Welfare Agency: Definition to come...

2 other providers at this address

Lafayette County Health Department-Dental ClinicPublic Health or Welfare Agency Mayo, FL NPI 1447268354
Kimberly Hatch Jackson, ARNPFamily Nurse Practitioner Mayo, FL NPI 1215171798

Other public health or welfare agency providers in Mayo

Lafayette County Health Department-Dental ClinicPublic Health or Welfare Agency Mayo, FL NPI 1447268354

See all in Mayo →

NPI record

NPI: 1386611085
Entity type: Organization (Type 2)
Issued: Mar 2, 2006
Last updated: Jul 11, 2019
Status: Active
Subpart: Yes of FL Department of Health

Other names

<unavail>
Lafayette County Health Department · doing business as
Lafayette County Health Department · doing business as

Authorized official

Mr. Kerry S Waldron
Administrator
(386) 362-2708

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1386611085

Florida Department of Health's National Provider Identifier is 1386611085, issued on Mar 2, 2006. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Mayo, FL. The record was last updated on Jul 11, 2019.