Organization
FLORIDA COMMUNITY HEALTH CENTERS INC
Active
Other names
Florida Community Center Inc. Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
WILHELMINA N. LEWIS (CEO & PRESIDENT)
(561) 844-9443
Entity
Organization
Contact information
Practice address
1701 HILLMOOR AVE, STE 19, PORT ST. LUCE, FL 34952-7552
(772) 337-4000
(561) 844-1013
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 472-9692
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
06/18/2021
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