FLORIDA COMMUNITY HEALTH CENTERS INC (NPI# 1023210853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023210853 |
| Entity Type | Organization |
| Organization Name | FLORIDA COMMUNITY HEALTH CENTERS INC |
| Other Organization Name | RYAN WHITE |
| Practice Address |
1505 Delaware Ave Fort Pierce FL 34950-3975 |
| Mailing Address |
5827 Corporate Way West Palm Beach FL 33407-2000 |
| Practice Telephone | 7724611402 |
| Practice Fax Number | 7724619972 |
| Mailing Telephone | 5618449443 |
| Mailing Fax Number | 5618441013 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | DR. MICHAEL F GERVASI (PRESIDENT & CEO) |
| Authorized Official Telephone | 5618449443 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029574401 | 05 |
| Other Name | Type Code |
|---|---|
| Ryan White | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194071944 | Florida Community Health Centers Inc | Dentist | 1021 Health Park Drive, Moore Haven, FL 33471-6206 | 2012-07-31 |
| 1043260490 | Florida Community Health Centers Inc | Clinic/Center | 4450 S Tiffany Dr, West Palm Beach, FL 33407-3241 | 2006-05-10 |
| 1124078571 | Florida Community Health Centers Inc | Dentist | 315 S W C Owen Ave, Clewiston, FL 33440-3637 | 2006-05-10 |
| 1831148741 | Florida Community Health Centers Inc | Dentist | 2015 Highway 441 North, Okeechobee, FL 34972 | 2006-05-08 |
| 1659621654 | Florida Community Health Centers Inc | Pediatrics | 3441 Se Willoughby Blvd, Stuart, FL 34994-5060 | 2012-09-17 |
| 1851518211 | Florida Community Health Centers Inc | Pediatrics | 170 S Barfield Hwy, Suite 103, Pahokee, FL 33476-1868 | 2007-04-19 |
| 1578669917 | Florida Community Health Centers Inc | Physician Assistant | 4450 S Tiffany Dr, West Palm Beach, FL 33407-3241 | 2006-09-15 |
| 1205886223 | Florida Community Health Centers Inc | Dentist | 15858 S.w. Warfield Blvd., Indiantown, FL 34956-0648 | 2006-05-11 |
| 1811947245 | Florida Community Health Centers Inc | Clinic/Center | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7567 | 2006-05-10 |
| 1952351306 | Florida Community Health Centers Inc | Obstetrics & Gynecology | 1100 N Parrott Ave, Okeechobee, FL 34972-2129 | 2006-05-10 |
| Street Address |
1505 DELAWARE AVE |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938519 | Cheryl Elaine Wayne | Pediatrics | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2005-08-09 |
| 1457993586 | Kali Garcia Malpica | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2019-10-10 |
| 1851947568 | Emily Pham | Dentist | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2019-08-18 |
| 1396209466 | Stanley Jose Guerrero | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2019-01-23 |
| 1841771177 | Reinaldo Hernandez Silva | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2018-08-24 |
| 1366922288 | Bonnie Russo | Social Worker | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2018-08-20 |
| 1770063745 | Rene Leyva Quevedo | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2018-08-18 |
| 1275078487 | Serge Volma Valme | Nurse Practitioner | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2016-12-23 |
| 1184009052 | Melissa Allen Davis | Pharmacist | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2015-07-21 |
| 1518355403 | Florida Community Health Center | Pharmacy | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2014-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972514073 | Mariana R Loor | Internal Medicine | 2407 Okeechobee Rd, Fort Pierce, FL 34950-6556 | 2006-08-11 |
| 1902466287 | Midway Infectious Diseases, LLC | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2019-06-18 |
| 1376970814 | Midway Specialty Care Center Inc | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2013-09-30 |
| 1447544408 | Moti Ramgopal Mdpa | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2011-06-07 |
| 1356580518 | Midway Immunology and Research Center | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2009-02-11 |
| 1457329450 | Moti N Ramgopal | Internal Medicine | 356 E Midway Rd, Fort Pierce, FL 34982-7148 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659002 | Sq2 Medical Pllc | Internal Medicine | 13172 N Dale Mabry Hwy, Tampa, FL 33618-2406 | 2020-11-02 |
| 1750998654 | Marian Infectious Disease Pllc | Internal Medicine | 10174 Belcrest Blvd, Fort Myers, FL 33913-2607 | 2020-09-25 |
| 1356957146 | Nathaniel Duke Md Pa | Internal Medicine | 825 Sunflower Cir, Weston, FL 33327-2112 | 2020-09-17 |
| 1538771803 | Infectious Disease Medical Care Pa | Internal Medicine | 5258 Linton Blvd Ste 203, Delray Beach, FL 33484-6529 | 2020-08-18 |
| 1659998573 | Aids Healthcare Foundation | Internal Medicine | 4308 Alton Rd # 950960, Miami Beach, FL 33140-4556 | 2020-06-26 |
| 1063031524 | Overflow Health Alliance Inc | Internal Medicine | 3416 Moncrief Rd # 101, Jacksonville, FL 32209-4340 | 2020-04-14 |
| 1366076515 | Kielle Medical Limited Liability Company | Internal Medicine | 5988 Duckweed Rd, Lake Worth, FL 33449-5810 | 2020-02-26 |
| 1538709993 | First Class Medicine LLC | Internal Medicine | 4699 Fox View Pl, Lake Worth, FL 33467-3540 | 2020-01-13 |
| 1093356842 | Crew Community Health, Inc | Internal Medicine | 8601 Commodity Circle, Orlando, FL 32819 | 2019-10-03 |
| 1881162402 | Lisa Jeanne Sanders | Internal Medicine | 1315 E 7th Ave Ste 104, Tampa, FL 33605-3606 | 2018-11-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.