Organization
PROJECT HEALTH INC
Active
Other names
Langley Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CHASE (CEO)
(352) 793-5900
Entity
Organization
Contact information
Practice address
547 SE FORT ISLAND TRL STE C, CRYSTAL RIVER, FL 34429-8905
(352) 793-5900
Mailing address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029547730
—
FL
Enumeration date
05/04/2016
Last updated
08/02/2021
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