| NPI | 1477979748 |
|---|---|
| Doing Business As | PALM RIVER COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT R RODRIGUEZ CFO 813-349-7563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |