| Organization Name: | FLORIDA COMMUNITY HEALTH CENTERS INC |
| NPI Number: | 1023210853 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL F GERVASI (PRESIDENT & CEO) |
| Mailing Address: | 1505 Delaware Ave Fort Pierce |
| State: | FL US |
| Postal Code: | 349503975 |
| Phone Number: | 7724611402 |
| Fax Number: | 7724619972 |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |