GULF COUNTY HEALTH DEPARTMENT
NPI 1104003995
Clinic/Center - Primary Care in Port Saint Joe, FL

Q: What is State Of Florida's NPI number?

The NPI number for State Of Florida is 1104003995. It was assigned to this organization in the NPPES registry on January 24, 2008. The provider is doing business as Gulf County Health Department.

Q: What is State Of Florida's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Q: When was this NPI record last updated?

The NPPES record for State Of Florida was last updated on April 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 24, 2008CLIA 10D0858330 · Waiver

2475 GARRISON AVE, PORT SAINT JOE, FL 32456(850) 227-1276 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gulf County Health Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULF COUNTY HEALTH DEPARTMENT (NPI 1104003995) is a healthcare organization registered as a primary care in Port Saint Joe, Florida and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Marsha Lindermann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104003995

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSTATE OF FLORIDA

Location Address2475 GARRISON AVEPort Saint Joe, FL 32456-5265

Mailing Address2475 Garrison AvePort St Joe, FL 32456-5265 · (850) 227-1276

Phone(850) 227-1276

Organization SubpartNo

Authorized OfficialMarsha LindermannAdministrator · (850) 227-1276

Enumeration DateJanuary 24, 2008

Last NPPES UpdateApril 27, 2012

✔ NPI 1104003995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in FL · ARNP 9179453

2475 GARRISON AVE, Port Saint Joe, FL 32456

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Other Names 1

Doing Business AsGulf County Health Department

Other Identifiers 2

Medicare OSCAR/certification101944FL

Medicare OSCAR/certification101844FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0858330

Gulf County Health Department · Port Saint Joe, FL

Active · expires Feb 29, 2028

CLIA Number10D0858330

Laboratory TypePublic Health Laboratories

Certificate Effective DateMarch 1, 2026

Certificate Expiration DateFebruary 29, 2028

Laboratory DirectorMisty Shoemaker

Laboratory Phone(850) 227-1276

Laboratory LocationGulf County Health Department2475 Garrison Avenue Attn Lesia Mcdaniel, Port Saint Joe, FL 32456

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA DEPARTMENT OF HEALTH

Public Health or Welfare