NPI | 1609384700 |
---|---|
Doing Business As | COMMUNITY HEALTH CENTER AT LEALMAN |
Entity Type | Organization |
Authorized Contact | ELODIE DORSO CEO 727-824-8100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2019-12-11 |