| C. L. Brumback Primary Care Clinics-dental | |
|
39200 Hooker Hwy Ste 101 Belle Glade FL 33430-5368 | |
| (561) 642-1000 | |
| Not Available |
| Full Name | C. L. Brumback Primary Care Clinics-dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 39200 Hooker Hwy Ste 101, Belle Glade, Florida |
| Authorized Official Name and Position | Darcy Davis (CEO) |
| Authorized Official Contact | 5618045885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C. L. Brumback Primary Care Clinics-dental 1515 N Flagler Dr Ste 101 West Palm Beach FL 33401-3429 Ph: (561) 659-1270 | C. L. Brumback Primary Care Clinics-dental 39200 Hooker Hwy Ste 101 Belle Glade FL 33430-5368 Ph: (561) 642-1000 |
| NPI Number | 1720474075 |
|---|---|
| Provider Enumeration Date | 04/14/2015 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720474075 | NPI | - | NPPES |
| 008037115 | Medicaid | FL | |
| 008037114 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
Gentle Dental Of Belle Glade, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 427 Se 2nd St, Belle Glade, FL 33430 Phone: 561-999-9650 Fax: 561-431-2279 | |
Belle Glade Dental Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 W Canal St N, Belle Glade, FL 33430 Phone: 561-996-6165 Fax: 561-983-8154 |