Seminole Tribe of Florida

NPI #1740551530 in Clewiston, Florida

Provider Information

NPI Number: 1740551530
Entity Type: Organization
Organization Name: Seminole Tribe of Florida
Subpart: Yes (part of a larger organization)
Parent Organization: SEMINOLE TRIBE OF FLORIDA
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Jan 25, 2012
Last Updated: Jan 25, 2012

Practice Location

Address: 30851 BUFFALO JIM LOOP ROAD
City: Clewiston
State: Florida
ZIP Code: 33440
Phone: (863) 983-5151

Authorized Official

Name: CONNIE WHIDDEN, MSW
Title: HEALTH DIRECTOR-SEMINOLE TRIBE OF F
Phone: (954) 962-2009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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