Organization
FLORIDA COMMUNITY HEALTH CENTERS INC
Active
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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