# FLORIDA COMMUNITY HEALTH CENTERS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indiantown Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205886223
- **Authorized official:** DR. MICHAEL F GERVASI D.O. (PRESIDENT & CEO)
- **Authorized official phone:** (561) 844-9443

## Contact information

- **Practice address:** 15858 S.W. WARFIELD BLVD., INDIANTOWN, FL 34956-0648
- **Practice address phone:** (772) 597-3596
- **Practice address fax:** (772) 597-4194
- **Mailing address:** 5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
- **Mailing address phone:** (561) 844-9443
- **Mailing address fax:** (561) 844-1013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 06/17/2016