NPI | 1104875095 |
---|---|
Other Name | FORT PIERCE CENTER |
Entity Type | Organization |
Authorized Contact | WILHELMINA LEWIS President & CEO 561-844-9443 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
207Q00000X Family Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2006-05-08 |
Last Update Date | 2019-04-25 |