| Orange Blossom Family Health Center | |
|
225 N Kennel Rd Sanford FL 32771-8814 | |
| (407) 428-5751 | |
| (407) 428-6204 |
| Full Name | Orange Blossom Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 225 N Kennel Rd, Sanford, Florida |
| Authorized Official Name and Position | Bakari F Burns (PRESIDENT/CEO) |
| Authorized Official Contact | 4074285751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Blossom Family Health Center 232 N Orange Blossom Trl Orlando FL 32805-1612 Ph: (407) 428-5751 | Orange Blossom Family Health Center 225 N Kennel Rd Sanford FL 32771-8814 Ph: (407) 428-5751 |
| NPI Number | 1326466657 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 08/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326466657 | NPI | - | NPPES |
| 687429108 - FQHC | Medicaid | FL | |
| 687429109 - FFS | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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