| NPI | 1104596279 |
|---|---|
| Doing Business As | C. L. BRUMBACK PRIMARY CARE CLINICS-ST ANN |
| Entity Type | Organization |
| Authorized Contact | DARCY DAVIS CEO 561-642-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-21 |