Organization
CYPRESS HEALTH SYSTEMS FLORIDA INC.
Active
Parent organization
CYPRESS HEALTH SYSTEMS FLORIDA INC.
Other names
Tri County Family Health Services-Williston
Organization subpart
Yes
Provider details
NPI number
Legal business name
CYPRESS HEALTH SYSTEMS FLORIDA INC.
Authorized official
MR. JERRY E GILLMAN (CEO)
(352) 528-2801
Entity
Organization
Contact information
Practice address
125 SW 7TH ST, WILLISTON, FL 32696-2403
(352) 528-2801
(352) 528-3824
Mailing address
125 SW 7TH STREET, WILLISTON, FL 32696-2403
(352) 528-2801
(352) 528-3824
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
4424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332
BCBS OF FL
FL
05
—
660137500
—
FL
01
—
72816
BLUE CROSS
FL
Enumeration date
02/28/2008
Last updated
11/23/2010
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