OrganizationActive
Florida Department of Health
NPI 1629259940 · Federal Public Health Clinic/Center · Bristol, FL
Provider details
- NPI number
- 1629259940
- Entity type
- Organization
- Primary specialty
- Federal Public Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Eugene Charbonneau, Director
Practice location
12832 Nw Central Ave
Bristol, FL 32321
Phone: (850) 643-2415
Fax: (850) 643-5689
Mailing address
Po Box 489
Bristol, FL 32321-0489
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.