Organization
FLORIDA COMMUNITY HEALTH CENTERS INC
Active
Other names
Moore Haven Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F. GERVASI D.O. (PRESIDENT & CEO)
(561) 844-9443
Entity
Organization
Contact information
Practice address
1021 HEALTH PARK DRIVE, MOORE HAVEN, FL 33471-6206
(561) 844-9443
(561) 844-1013
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 844-1013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
06/17/2016
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