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508 S 6th Ave Wauchula FL 33873-3211 | |
| (863) 473-4733 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 508 S 6th Ave, Wauchula, Florida |
| Authorized Official Name and Position | Patrick Carnegie (PRESIDENT AND CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | 508 S 6th Ave Wauchula FL 33873-3211 Ph: (863) 473-4733 |
| NPI Number | 1417437872 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417437872 | NPI | - | NPPES |
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