Organization
PARAGON COMMUNITY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE KENNETH FERGUSON II (PRESIDENT)
(727) 842-6900
Entity
Organization
Contact information
Practice address
6131 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-2507
(727) 842-6900
(727) 842-6902
Mailing address
6131 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-2507
(727) 842-6900
(727) 842-6902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
FL
261QP3300X
Pain Clinic/Center
Primary
—
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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