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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
1120 S. FIRST STREET, IMMOKALEE, FL 34142
(239) 867-3400
(239) 657-2304
Mailing address
1120 S. FIRST STREET, IMMOKALEE, FL 34142
(239) 867-3400
(239) 657-2304

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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