| Garden Street | |
|
4000 N Riverside Dr Indian Harbour Beach FL 32937-4842 | |
| (321) 914-5557 | |
| (321) 434-1975 |
| Full Name | Garden Street |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4000 N Riverside Dr, Indian Harbour Beach, Florida |
| Authorized Official Name and Position | Angela Craig (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3219529696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Street Po Box 1137 Melbourne FL 32902-1137 Ph: (321) 952-9696 | Garden Street 4000 N Riverside Dr Indian Harbour Beach FL 32937-4842 Ph: (321) 914-5557 |
| NPI Number | 1073855797 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 04/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073855797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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