Organization
CAN COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI B PATEL (PRESIDENT & CEO)
(941) 300-4440
Entity
Organization
Contact information
Practice address
2349 SUNSET POINT RD STE 405, CLEARWATER, FL 33765-1439
(727) 216-6193
(877) 868-0981
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-2558
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057256017
—
FL
01
—
21725
FL BCBS GROUP #
FL
Enumeration date
06/04/2021
Last updated
01/30/2024
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