| Gift Of Life Community, Inc. | |
|
4425 Park Blvd Pinellas Park FL 33781-3540 | |
| (727) 547-0607 | |
| Not Available |
| Full Name | Gift Of Life Community, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4425 Park Blvd, Pinellas Park, Florida |
| Authorized Official Name and Position | Lee Wayne Scharrer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7275470607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gift Of Life Community, Inc. 4425 Park Blvd Pinellas Park FL 33781-3540 Ph: (727) 547-0607 | Gift Of Life Community, Inc. 4425 Park Blvd Pinellas Park FL 33781-3540 Ph: (727) 547-0607 |
| NPI Number | 1619069200 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619069200 | NPI | - | NPPES |
| 550560 | Other | FL | VALUE OPTIONS PMHP |
| 281413 | Other | FL | AMERIGROUP |
| 337877 | Other | FL | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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