| For The Community Florida Pllc | |
|
627 Williams St Melbourne FL 32901-6053 | |
| (623) 628-4079 | |
| Not Available |
| Full Name | For The Community Florida Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 627 Williams St, Melbourne, Florida |
| Authorized Official Name and Position | Renetta Tanica Slone (OWNER) |
| Authorized Official Contact | 6236284079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| For The Community Florida Pllc 8721 W Wilshire Dr Phoenix AZ 85037-3605 Ph: (623) 628-4079 | For The Community Florida Pllc 627 Williams St Melbourne FL 32901-6053 Ph: (623) 628-4079 |
| NPI Number | 1477844751 |
|---|---|
| Provider Enumeration Date | 04/21/2011 |
| Last Update Date | 04/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477844751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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