| NPI | 1720474075 |
|---|---|
| Doing Business As | C. L. BRUMBACK PRIMARY CARE CLINICS-DENTAL |
| Entity Type | Organization |
| Authorized Contact | DARCY DAVIS CEO 561-804-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2021-09-21 |