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FLORIDA COMMUNITY HEALTH CENTERS INC. NPI 1104250786


NPI Information

NPI: 1104250786
Provider Name: FLORIDA COMMUNITY HEALTH CENTERS, INC.

Doing Business As: GRACE WOMEN'S HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2402 FRIST BLVD
SUITE 202
FORT PIERCE, FL
ZIP 34950
Phone: (772) 429-3400
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FLORIDA COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Fort Pierce, FL. FLORIDA COMMUNITY HEALTH CENTERS, INC. NPI is 1104250786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Grace Women's Health Center.

The provider's business location address is:

2402 FRIST BLVD
SUITE 202
FORT PIERCE, FL
ZIP 34950-838
Phone: (772) 429-3400
Fax: (772) 429-3410

The provider's authorized official is Michael F Gervasi .
The authorized official title is President And Ceo and has the following contact phone number (561) 844-9443.

The enumeration date for this NPI number is 8/30/2013 and was last updated on 6/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyNo
2363LX0001XNurse PractitionerObstetrics & GynecologyNo
3367A00000XAdvanced Practice MidwifeNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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