Family Health Center at Port St John LLC

NPI #1851575377 in Cocoa, Florida

Provider Information

NPI Number
1851575377
Entity Type
Organization
Organization Name
Family Health Center at Port St John LLC
Primary Specialty
Family Medicine
Enumeration Date
Dec 19, 2007
Last Updated
Dec 3, 2013

Practice Location

Address
3740 CURTIS BLVD
Address 2
SUITE 108
City
Cocoa
State
Florida
ZIP Code
32927-3962
Phone
(321) 633-5500

Authorized Official

Name
DR. JANIS G BLACK, D.O.
Title
PHYSICIAN/OWNER
Phone
(321) 633-5500

Specialties & Taxonomy Codes

Specialty
Family Medicine

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