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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