Organization
FLORIDA COMMUNITY HEALTH CENTER
Active
Other names
FL Comm Health Center-Fort Pierce
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GERVASI D.O. (CEO)
(561) 844-9443
Entity
Organization
Contact information
Practice address
1505 DELAWARE AVE, FORT PIERCE, FL 34950-3975
(772) 462-6520
(561) 472-0391
Mailing address
1505 DELAWARE AVE, FORT PIERCE, FL 34950-3975
(772) 462-6520
(561) 472-0391
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH29268
STATE LICENSE
FL
Enumeration date
12/31/2014
Last updated
11/24/2015
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