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Florida Department Of Health
Military Outpatient Operational (Transportable) Component Clinic/Center in Viera, Florida
NPI 1386751907

Florida Department Of Health is a Military Outpatient Operational (Transportable) Component Clinic/Center based in Viera, FL and is specialized in Military Outpatient Operational (Transportable) Component. Florida Department Of Health practices in Viera, FL. The NPI Number for Florida Department Of Health is 1386751907 and holds a License No. (Florida).

The current practice location address for Florida Department Of Health is 2555 Judge Fran Jamieson Way, Viera, FL and can be reached out via phone at 321-639-5800 and via fax at 321-449-5015. You can also correspond with Florida Department Of Health through the mailing address at 2565 JUDGE FRAN JAMIESON WAY, VIERA, FL - 32940-5998 (mailing address contact number: 321-454-7148).

Location: 2555 Judge Fran Jamieson Way, Viera, FL, 32940-5998
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386751907
Provider Name
Florida Department Of Health
Credential
Provider Entity Type
Organization
Address
2555 Judge Fran Jamieson Way, Viera, FL, 32940-5998
Phone Number
321-639-5800
Fax Number
321-449-5015
Provider Enumeration Date
08/23/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051925102 05 FL
051925192 01 MEDIPASS
051925193 01 MEDIPASS
051925101 05 FL
051925100 05 FL
051925191 01 MEDIPASS
institution
Provider Business Practice Location Address Details
Address
2555 Judge Fran Jamieson Way
City
Viera
State
Florida
Zip
32940-5998
Phone Number
321-639-5800
Fax Number
321-449-5015
person
Provider Business Mailing Address Details
Address
2565 Judge Fran Jamieson Way
City
Viera
State
Florida
Zip
32940-5998
Phone Number
321-454-7148
Fax Number
321-449-5015
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
(Florida)
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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