Organization
SEMINOLE TRIBE OF FLORIDA
Active
Parent organization
SEMINOLE TRIBE OF FLORIDA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SEMINOLE TRIBE OF FLORIDA
Authorized official
CONNIE WHIDDEN MSW (HEALTH DIRECTOR-SEMINOLE TRIBE OF F)
(954) 962-2009
Entity
Organization
Contact information
Practice address
30851 BUFFALO JIM LOOP ROAD, CLEWISTON, FL 33440
(863) 983-5151
(863) 983-7875
Mailing address
30851 BUFFALO JIM LOOP ROAD, CLEWISTON, FL 33440
(863) 983-5151
(863) 983-7875
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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