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Organization

HEALTHY COMMUNITY CENTER LLC

Active
Other names
DBA. HEALTHY MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF GARCIA (PRESIDENT)
(239) 673-9825
Entity
Organization

Contact information

Practice address
506 SE 47TH TER STE B, CAPE CORAL, FL 33904-8593
(305) 989-1837
Mailing address
506 SE 47TH TER STE B, CAPE CORAL, FL 33904-8593
(239) 673-9825
(239) 257-2326

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117334100
FL
01
NX985
INTERNAL MEDICINE
FL
Enumeration date
02/27/2023
Last updated
09/06/2024
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