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Organization
BIG BEND COMMUNTIY BASED CARE
Active
Organization
BIG BEND COMMUNTIY BASED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE WATKINS (CHIEF OPERATING OFFICER)
(850) 410-1020
Entity
Organization
Contact information
Practice address
525 N MARTIN LUTHER KING JR BLVD, TALLAHASSEE, FL 32301-1054
(850) 410-1020
(850) 410-1076
Mailing address
525 N MARTIN LUTHER KING JR BLVD, TALLAHASSEE, FL 32301-1054
(850) 410-1020
(850) 410-1076
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
02B010401P
FL
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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