Ryan White
LBN: Florida Community Health Centers Inc
Ryan White 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 Allopathic & Osteopathic Physicians / Infectious Disease, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty.
Florida Community Health Centers Inc can be contacted via phone (772) 461-1402, or through Gervasi, Michael F via phone (561) 844-9443.
Contact Information
Primary practice address
1505 Delaware Ave
Fort Pierce FL 34950-3975
Phone: (772) 461-1402
Fax: (772) 461-9972
Website:
Authorized official contact:
Name: Gervasi, Michael F Doctor of Osteopathy (DO)
Phone: (561) 844-9443
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1023210853 |
---|---|
LBN Legal business name | Florida Community Health Centers Inc |
DBA Doing business as | Ryan White |
Authorized official | Gervasi, Michael F Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 4th, 2007 |
Last updated | Jun 17th, 2016 - 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 | 1023210853 | NPPES |
Florida | MEDICAID | 029574401 |
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