| Gulf Coast Jewish Family And Community Services, Inc. | |
|
14041 Icot Blvd Clearwater FL 33760-3702 | |
| (727) 450-7269 | |
| (727) 479-1248 |
| Full Name | Gulf Coast Jewish Family And Community Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14041 Icot Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Carolyn Jimenez Yandek (DIRECTOR CREDENTIALING/BILLING) |
| Authorized Official Contact | 7274303291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Jewish Family And Community Services, Inc. 14041 Icot Blvd Clearwater FL 33760-3702 Ph: (727) 450-7269 | Gulf Coast Jewish Family And Community Services, Inc. 14041 Icot Blvd Clearwater FL 33760-3702 Ph: (727) 450-7269 |
| NPI Number | 1811061955 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 0345236410 |
|---|---|
| Medicare Enrollment ID | O20040423000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811061955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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