NPI | 1164004784 |
---|---|
Doing Business As | WHOLE CHILD PEDIATRICS (CBHS) |
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President/CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-04-23 |
Last Update Date | 2023-11-27 |