| NPI | 1093026619 |
|---|---|
| Doing Business As | FAU COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LOUISA PONTIROLI KELLY CEO 561-803-8880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-05-19 |