Organization
COMMUNITY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET BRENNAN (MANAGED CARE MANAGER)
(407) 905-8827
Entity
Organization
Contact information
Practice address
6101 LAKE ELLENOR DR, SUITE 106, ORLANDO, FL 32809-4616
(407) 956-4660
(407) 855-8882
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 905-8980
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029545101
—
FL
Enumeration date
04/06/2009
Last updated
02/05/2018
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