FLORIDA COMMUNITY HEALTH CENTERS, INC. (NPI# 1104875095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104875095 |
| Entity Type | Organization |
| Organization Name | FLORIDA COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | FORT PIERCE CENTER |
| 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 | 2006-05-08 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DR. WILHELMINA LEWIS (PRESIDENT & CEO) |
| Authorized Official Telephone | 5618449443 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029574404 | 05 | |
| FL | 060512300 | 05 |
| Other Name | Type Code |
|---|---|
| Fort Pierce Center | Other Name - Individual/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 |
| 1104250786 | Florida Community Health Centers, Inc. | Obstetrics & Gynecology | 2402 Frist Blvd, Suite 202, Fort Pierce, FL 34950-4838 | 2013-08-30 |
| 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 | 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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| 1679185292 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 8600 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34747-1001 | 2020-08-17 |
| 1992316285 | Central Florida Health Care, Inc. | Clinic/Center | 225 Lincoln Ave, Lake Wales, FL 33853-3546 | 2020-08-11 |
| 1902425028 | Lee Memorial Health System | Clinic/Center | 2525 Harbor Blvd Ste 204, Port Charlotte, FL 33952-5342 | 2020-04-09 |
| 1164051405 | Lee Memorial Health System | Clinic/Center | 2484 Caring Way Unit F, Port Charlotte, FL 33952-5306 | 2020-04-08 |
| 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 |
Please comment or provide details below to improve the information on FLORIDA COMMUNITY HEALTH CENTERS, INC..
| 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.