Organization
CCHC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIDEH RADFAR PHD (OFFICER)
(321) 639-4000
Entity
Organization
Contact information
Practice address
1121 W KING ST, COCOA, FL 32922-8617
(321) 639-0000
Mailing address
1121 WEST KING STREET, COCOA, FL 32922
(321) 639-0000
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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