FLORIDA COMMUNITY HEALTH CENTERS, INC. (NPI# 1346619244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346619244 |
| Entity Type | Organization |
| Organization Name | FLORIDA COMMUNITY HEALTH CENTERS, INC. |
| Other Organization Name | DARWIN SQUARE CENTER |
| Practice Address |
3235 Sw Port St Lucie Blvd Suite 105 Port St Lucie FL 34953-3405 |
| Mailing Address |
5827 Corporate Way West Palm Beach FL 33407-2000 |
| Practice Telephone | 5618449443 |
| Practice Fax Number | 5618441013 |
| Mailing Telephone | 5618449443 |
| Mailing Fax Number | 5618441013 |
| Enumeration Date | 2015-09-21 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Darwin Square 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 |
| 1104250786 | Florida Community Health Centers, Inc. | Obstetrics & Gynecology | 2402 Frist Blvd, Suite 202, Fort Pierce, FL 34950-4838 | 2013-08-30 |
| 1104875095 | Florida Community Health Centers, Inc. | Dentist | 1505 Delaware Ave, Fort Pierce, FL 34950-3975 | 2006-05-08 |
| Street Address |
3235 SW PORT ST LUCIE BLVD SUITE 105 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34953-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477952133 | Brittany D'anne Mcdowell | Nurse Practitioner | 3235 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-3405 | 2014-08-19 |
| 1134690712 | Libertad A Ramos | Nurse Practitioner | 3235 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-3405 | 2018-12-07 |
| 1407253545 | Darlene M Valcin | Nurse Practitioner | 3235 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-3405 | 2014-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| 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 |
|---|---|---|---|---|
| 1811947245 | Florida Community Health Centers Inc | Clinic/Center | 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952-7567 | 2006-05-10 |
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| 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 | PORT ST LUCIE |
| Zip Code | 34953 |
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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.