FAMILY HEALTH CENTER AT PORT ST JOHN LLC

COCOA, FL
NPI1851575377
Entity TypeOrganization
Authorized ContactJANIS G BLACK
Physician/Owner
321-633-5500
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS9694)
Enumeration Date2007-12-19
Last Update Date2013-12-03
Business Address
FAMILY HEALTH CENTER AT PORT ST JOHN LLC
3740 CURTIS BLVD SUITE 108
COCOA, FL 32927-3962
Phone number: 321-633-5500
Mailing Address
FAMILY HEALTH CENTER AT PORT ST JOHN LLC
3740 CURTIS BLVD SUITE 108
COCOA, FL 32927-3962
Phone number: 321-633-5500
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