Careatc - City of Cocoa

NPI #1790239119 in Cocoa, Florida

Provider Information

NPI Number: 1790239119
Entity Type: Organization
Organization Name: Careatc - City of Cocoa
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 15, 2016
Last Updated: Aug 15, 2016

Practice Location

Address: 128 LEMON ST
City: Cocoa
State: Florida
ZIP Code: 32922-7624
Phone: (918) 779-7416

Authorized Official

Name: KEITH GUCWA
Title: DIRECTOR OF PURCHASING AND FACILITI
Phone: (918) 779-7416

Specialties & Taxonomy Codes

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

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