NPI | 1164883179 |
---|---|
Doing Business As | HEALTHCARE NETWORK OF SW FL |
Entity Type | Organization |
Authorized Contact | CONNIE MOTA Credentialing Manager 239-658-3707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2019-12-16 |