Organization
CAN COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI B PATEL (PRESIDENT & CEO)
(941) 300-4440
Entity
Organization
Contact information
Practice address
4615 PHILIPS HWY STE 3, JACKSONVILLE, FL 32207-9541
(904) 508-0710
(855) 299-7010
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-0001
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057256035
—
FL
01
—
21725
BCBS FL GROUP #
FL
Enumeration date
06/06/2021
Last updated
01/30/2024
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