Organization
AGAPE COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENITA SMITH (BUSINESS COORDINATOR)
(904) 800-6347
Entity
Organization
Contact information
Practice address
1680 DUNN AVE STE 34-37, JACKSONVILLE, FL 32218-4782
(904) 760-4904
Mailing address
1680 DUNN AVE STE 34-37, JACKSONVILLE, FL 32218-4782
(904) 760-4904
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017234419
—
FL
Enumeration date
03/05/2020
Last updated
08/21/2025
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