Florida Community Health Centers INC

NPI #1124078571 in Clewiston, Florida

Provider Information

NPI Number: 1124078571
Entity Type: Organization
Organization Name: Florida Community Health Centers INC
Primary Specialty: Family Medicine
Enumeration Date: May 10, 2006
Last Updated: Jun 17, 2016

Practice Location

Address: 315 S W C OWEN AVE
City: Clewiston
State: Florida
ZIP Code: 33440-3637
Phone: (863) 983-7813

Authorized Official

Name: DR. MICHAEL F GERVASI, D.O.
Title: PRESIDENT & CEO
Phone: (561) 844-9443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Pediatrics	208000000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X
Family Medicine	207Q00000X	Primary

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