NPI | 1396094017 |
---|---|
Doing Business As | COMMUNITY HEALTH CENTERS AT BAYFRONT |
Entity Type | Organization |
Authorized Contact | ELODIE DORSO President CEO 727-821-8100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
208D00000X General Practice | |
Enumeration Date | 2012-09-10 |
Last Update Date | 2019-12-11 |