Florida Department of Health
NPI #1083678205 in West Palm Beach, Florida
Provider Information
- NPI Number
- 1083678205
- Entity Type
- Organization
- Organization Name
- Florida Department of Health
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Apr 14, 2006
- Last Updated
- Oct 1, 2015
Practice Location
- Address
- 1150 45TH ST
- Address 2
- ROOM L-200
- City
- West Palm Beach
- State
- Florida
- ZIP Code
- 33407-2361
- Phone
- (561) 514-5360
Authorized Official
- Name
- MR. JESUS EDGARDO DIAZ
- Title
- BIOLOGICAL ADMINISTRATOR III
- Phone
- (561) 514-5360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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