Organization
HEALTH CARE CENTER FOR THE HOMELESS INC
Active
Other names
Orange Blossom Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BAKARI F BURNS (PRESIDENT/CEO)
(407) 428-5751
Entity
Organization
Contact information
Practice address
6001 VINELAND RD, SUITE 112, ORLANDO, FL 32819-7829
(407) 770-0431
(407) 745-5231
Mailing address
232 N ORANGE BLOSSOM TRL, ORLANDO, FL 32805-1612
(407) 428-5751
(407) 428-6204
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687429118
—
FL
05
—
6874296119
—
FL
Enumeration date
10/23/2015
Last updated
08/22/2016
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