Organization
PROJECT HEALTH INC
Active
Other names
Langley Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI WYNNS (CEO)
(352) 793-5900
Entity
Organization
Contact information
Practice address
1389 S US 301, SUMTERVILLE, FL 33585-5143
(352) 793-5900
(352) 793-9558
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
(352) 793-8050
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
N/A
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029547700
—
FL
01
—
10D0289672
CLIA
FL
01
—
609521400
DEPT OF LABOR
FL
01
—
99022
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
08/06/2025
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