| Florida Doh | |
|
205 Dr Martin Luther King Jr St N St Petersburg FL 33701-3109 | |
| (727) 824-6900 | |
| (727) 820-4275 |
| Full Name | Florida Doh |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 205 Dr Martin Luther King Jr St N, St Petersburg, Florida |
| Authorized Official Name and Position | Dharamraj Claude (DIRECTOR) |
| Authorized Official Contact | 7278246900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Doh 205 Dr Martin Luther King Jr St N St Petersburg FL 33701-3109 Ph: (727) 824-6900 | Florida Doh 205 Dr Martin Luther King Jr St N St Petersburg FL 33701-3109 Ph: (727) 824-6900 |
| NPI Number | 1417298761 |
|---|---|
| Provider Enumeration Date | 03/12/2013 |
| Last Update Date | 03/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417298761 | NPI | - | NPPES |
| 06973100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | ME0037797 (Florida) | Primary |
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