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CAN COMMUNITY HEALTH INC. NPI 1174190524


NPI Information

NPI: 1174190524
Provider Name: CAN COMMUNITY HEALTH, INC.
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

CLIA Number: 10D2140457

Address:
315 SE 14TH ST
FT LAUDERDALE, FL
ZIP 33316
Phone: (754) 701-6920
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CAN COMMUNITY HEALTH, INC. is an infectious disease internal medicine in Ft Lauderdale, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. CAN COMMUNITY HEALTH, INC. NPI is 1174190524. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 SE 14TH ST
FT LAUDERDALE, FL
ZIP 33316-929
Phone: (754) 701-6920
Fax: (855) 643-6201

The provider's authorized official is Rishi B Patel .
The authorized official title is President & Ceo and has the following contact phone number (941) 300-4440.

The CLIA number assigned to this NPI record is 10D2140457 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2021 and was last updated on 1/30/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121725OTHERFL BCBS GROUP #
2057256012MEDICAIDFLORIDA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.