Organization · Type 2 NPI

Florida Community Health Centers Inc

Federally Qualified Health Center (FQHC) · Port St. Luce, FL

NPI number 1407421597 Active

Practice location

1701 Hillmoor Ave, Ste 19
Port St. Luce, FL 34952-7552

Call (772) 337-4000 Map

Fax (561) 844-1013

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Pediatrics Physician	208000000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1407421597
Entity type: Organization (Type 2)
Issued: May 21, 2021
Last updated: Jun 18, 2021
Status: Active

Other names

<unavail>
Florida Community Center Inc. Mobile · doing business as
Florida Community Center Inc. Mobile · doing business as

Authorized official

Wilhelmina N. Lewis
CEO & President
(561) 844-9443

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407421597

Florida Community Health Centers Inc's National Provider Identifier is 1407421597, issued on May 21, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Port St. Luce, FL. The record was last updated on Jun 18, 2021.