Organization
HEART OF FLORIDA HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW CLAY (CEO)
(352) 732-6599
Entity
Organization
Contact information
Practice address
5051 SE 110TH ST, BELLEVIEW, FL 34420-3115
(352) 732-6599
Mailing address
1025 SW 1ST AVE, OCALA, FL 34471-0900
(352) 732-6599
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001718306
—
FL
01
—
101197
FQHC PTAN
FL
Enumeration date
10/13/2014
Last updated
02/07/2023
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