| NPI | 1659864411 |
|---|---|
| Other Name | FAMILY CARE NORTH |
| Entity Type | Organization |
| Authorized Contact | CONNIE MOTA Crredentiaing 239-658-3707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-09-14 |