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Contact Information

FLORIDA DEPT OF CORRECTIONS
25636 NE SR 16 (FLORIDA DEPT. OF CORRECTIONS - REGION I
RAIFORD, FL32083
 Phone: 386-431-4096
 Fax: 386-431-2190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FLORIDA DEPT OF CORRECTIONS

NPI # 1336025998
LBN Legal business name FLORIDA DEPT OF CORRECTIONS
Authorized official RENEA MARCANO - (BUREAU CHIEF OF PHARMACEUTICAL SERV)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/11/2025
Last updated 08/11/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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