Organization
COMMUNITY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK W DICKINSON (CFO)
(407) 905-8827
Entity
Organization
Contact information
Practice address
1296 W BROAD ST, GROVELAND, FL 34736-2012
(352) 435-6696
(844) 630-9996
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(321) 221-1040
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040497
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
104813990
—
FL
Enumeration date
03/02/2007
Last updated
08/12/2024
Update your record
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