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Organization

FLORIDA COMMUNITY HEALTH CENTERS INC

Active
Other names
North Palm Beach Infectious Disease Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL F GERVASI D.O. (PRESIDENT & CEO)
(561) 844-9443
Entity
Organization

Contact information

Practice address
4450 S TIFFANY DR, WEST PALM BEACH, FL 33407-3241
(561) 844-9443
(561) 844-1013
Mailing address
4450 S TIFFANY DR, WEST PALM BEACH, FL 33407-3241
(561) 844-9443
(561) 844-1013

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
261QF0400X
Federally Qualified Health Center (FQHC)
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029574416
FL
05
029574417
FL
Enumeration date
09/15/2006
Last updated
09/06/2011
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