| Florida Community Health Centers Inc | |
|
4450 S Tiffany Dr West Palm Beach FL 33407-3241 | |
| (561) 844-9443 | |
| (561) 844-1013 |
| Full Name | Florida Community Health Centers Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 4450 S Tiffany Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Michael F Gervasi (PRESIDENT & CEO) |
| Authorized Official Contact | 5618449443 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Community Health Centers Inc 4450 S Tiffany Dr West Palm Beach FL 33407-3241 Ph: (561) 844-9443 | Florida Community Health Centers Inc 4450 S Tiffany Dr West Palm Beach FL 33407-3241 Ph: (561) 844-9443 |
| NPI Number | 1043260490 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 09/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043260490 | NPI | - | NPPES |
| 029574414 | Medicaid | FL | |
| 029574415 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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