NPI | 1477191658 |
---|---|
Doing Business As | COMMUNITY CARE FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President & CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
Enumeration Date | 2019-12-18 |
Last Update Date | 2023-11-27 |