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FLORIDA DEPARTMENT OF HEALTH LIBERTY COUNTY HEALTH DEPARTMENT
NPI 1629259940
Clinic/Center - Public Health, Federal in Bristol, FL

Active since November 15, 2007
12832 NW CENTRAL AVE, BRISTOL, FL 32321(850) 643-2415(850) 643-5689 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Florida Department Of Health Liberty County Health Department NPPES

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

FLORIDA DEPARTMENT OF HEALTH LIBERTY COUNTY HEALTH DEPARTMENT (NPI 1629259940) is a healthcare organization registered as a public health, federal in Bristol, Florida and active in the NPI registry since November 2007. The organization lists Eugene G. Charbonneau, Director, as its authorized official.

NPPES Registry Identity

NPI1629259940
Entity TypeOrganization
Primary Taxonomy261QP0904X
Legal Business NameFLORIDA DEPARTMENT OF HEALTH
Location Address12832 NW CENTRAL AVEBristol, FL 32321
Mailing AddressPo Box 489Bristol, FL 32321-0489 · (850) 643-2415 · Fax (850) 643-5689
Phone(850) 643-2415
Fax(850) 643-5689
Organization SubpartNo
Authorized OfficialEugene G. CharbonneauDirector · (850) 643-2415
Enumeration DateNovember 15, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1629259940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Public Health, FederalAmbulatory Health Care Facilities
Taxonomy Code261QP0904X
12832 NW CENTRAL AVE, Bristol, FL 32321
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Other Names 1

Doing Business AsFlorida Department Of Health Liberty County Health Department

Other Providers at the Same Location NPPES 10

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

MS. SANDRA JEAN FORD MSN, RN, FNP-BC
Nurse Practitioner (Family)
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2292
MELISSA KINCAID RDH
Dental Hygienist
12832 NW CENTRAL AVE, LIBERTY COUNTY HEALTH DEPARTMENT
BRISTOL, FL 32321
Liberty County (850) 643-2292
KARLA GRACE JOHNSON LPN
Licensed Practical Nurse
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2415
GIDGETTA THOMAS LPN
Licensed Practical Nurse
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2292
ANGELA ROSE BRACEWELL RN
Registered Nurse (Community Health)
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2415
FLORIDA DEPARTMENT OF HEALTH
Public Health or Welfare
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2415
JOANNA PEACOCK RN
Registered Nurse
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2292
JOCELYN I STOWELL ARNP
Advanced Practice Midwife
12832 NW CENTRAL AVE
BRISTOL, FL 32321
Liberty County (850) 643-2415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Department Of Health's NPI number?

The NPI number for Florida Department Of Health is 1629259940. It was assigned to this organization in the NPPES registry on November 15, 2007. The provider is doing business as Florida Department Of Health Liberty County Health Department.

Where is Florida Department Of Health located?

Florida Department Of Health is located at 12832 NW Central Ave, Bristol, FL 32321. The listed phone number is (850) 643-2415.

What is Florida Department Of Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, Federal, with taxonomy code 261QP0904X.

When was this NPI record last updated?

The NPPES record for Florida Department Of Health was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.