Fl Comm Health Center-Fort Pierce
LBN: Florida Community Health Center
Fl Comm Health Center-Fort Pierce is an health care organization with primary practice located at 1505 Delaware Ave , Fort Pierce FL 34950-3975. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Florida Community Health Center can be contacted via phone (772) 462-6520, or through Gervasi, Michael via phone (561) 844-9443.
Contact Information
Primary practice address
1505 Delaware Ave
Fort Pierce FL 34950-3975
Phone: (772) 462-6520
Fax: (561) 472-0391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1518355403 |
|---|---|
| LBN Legal business name | Florida Community Health Center |
| DBA Doing business as | Fl Comm Health Center-Fort Pierce |
| Authorized official | Gervasi, Michael Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 31st, 2014 |
| Last updated | Nov 24th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518355403 | NPPES |
| Florida | Other | PH29268 | STATE LICENSE |
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