Organization
CAN COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI B PATEL (PRESIDENT & CEO)
(941) 300-4440
Entity
Organization
Contact information
Practice address
4101 NW 3RD CT STE 9, PLANTATION, FL 33317-2830
(754) 701-6911
(877) 598-1604
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-1926
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057256013
—
FL
01
—
21725
BCBS FL GROUP #
FL
Enumeration date
06/04/2021
Last updated
01/30/2024
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