NPI | 1417161852 |
---|---|
Doing Business As | THE MIKE DAVIS MEDICAL CENTER |
Doing Business As | HEALTHCARE NETWORK |
Entity Type | Organization |
Authorized Contact | TAMI RAZNOFF CFO 239-658-3707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-04-27 |