| Heart Of Florida Health Center Inc | |
|
5051 Se 110th St Belleview FL 34420-3115 | |
| (352) 732-6599 | |
| Not Available |
| Full Name | Heart Of Florida Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5051 Se 110th St, Belleview, Florida |
| Authorized Official Name and Position | Matthew Clay (CEO) |
| Authorized Official Contact | 3527326599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Florida Health Center Inc 1025 Sw 1st Ave Ocala FL 34471-0900 Ph: (352) 732-6599 | Heart Of Florida Health Center Inc 5051 Se 110th St Belleview FL 34420-3115 Ph: (352) 732-6599 |
| NPI Number | 1326442930 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 1355410838 |
|---|---|
| Medicare Enrollment ID | O20150112001111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326442930 | NPI | - | NPPES |
| 001718306 | Medicaid | FL | |
| 101197 | Other | FL | FQHC PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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