FLORIDA COMMUNITY HEALTH CENTERS, INC. (NPI# 1104250786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104250786 |
| Entity Type | Organization |
| Organization Name | FLORIDA COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | GRACE WOMEN'S HEALTH CENTER |
| Practice Address |
2402 Frist Blvd Suite 202 Fort Pierce FL 34950-4838 |
| Mailing Address |
5827 Corporate Way West Palm Beach FL 33407-2000 |
| Practice Telephone | 7724293400 |
| Practice Fax Number | 7724293410 |
| Mailing Telephone | 5618449443 |
| Mailing Fax Number | 5618441013 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | DR. MICHAEL F GERVASI (PRESIDENT AND 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Grace Women's Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1346619244 | Florida Community Health Centers, Inc. | Family Medicine | 3235 Sw Port St Lucie Blvd, Suite 105, Port St Lucie, FL 34953-3405 | 2015-09-21 |
| 1104875095 | Florida Community Health Centers, Inc. | Dentist | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2006-05-08 |
| Street Address |
2402 FRIST BLVD SUITE 202 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437144870 | Kenneth G Bridges | Surgery | 2402 Frist Blvd, Suite 203, Fort Pierce, FL 34950-4838 | 2005-09-13 |
| 1760887210 | Michael Jareth Swanson | Physician Assistant | 2402 Frist Blvd, Suite 204, Fort Pierce, FL 34950-4838 | 2014-10-27 |
| 1194126565 | Kimberlee Randall | Physician Assistant | 2402 Frist Blvd, #102, Fort Pierce, FL 34950-4838 | 2014-09-04 |
| 1821381542 | Alisha Valtrisse Williams | Obstetrics & Gynecology | 2402 Frist Blvd, Suite 202, Fort Pierce, FL 34950-4838 | 2011-05-27 |
| 1649577834 | Florida Woman Care LLC | Obstetrics & Gynecology | 2402 Frist Blvd, Suite 202, Fort Pierce, FL 34950-4800 | 2011-02-24 |
| 1922327766 | Christopher William Beiser | Orthopaedic Surgery | 2402 Frist Blvd, Suite 102 & 103, Fort Pierce, FL 34950-4838 | 2010-05-19 |
| 1326362310 | Gloria E Mcneil Md., Pl | Internal Medicine | 2402 Frist Blvd, Fort Pierce, FL 34950-4838 | 2010-03-18 |
| 1124356084 | John Marcel James Burney | Obstetrics & Gynecology | 2402 Frist Blvd, Fort Pierce, FL 34950-4838 | 2009-12-03 |
| 1134367386 | Jason Alan Moore | Surgery | 2402 Frist Blvd, Ste. 204, Fort Pierce, FL 34950-4838 | 2009-01-27 |
| 1215174057 | Elizabeth S Del Rossa | Physician Assistant | 2402 Frist Blvd, Ste 204, Fort Pierce, FL 34950-4838 | 2009-01-15 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023210853 | Florida Community Health Centers Inc | Clinic/Center | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2007-06-04 |
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| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| 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.