| Tom Lee Community Health Center | |
|
14254 Martin Luther King Blvd Dover FL 33527-4414 | |
| (813) 349-7700 | |
| (813) 349-7761 |
| Full Name | Tom Lee Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 14254 Martin Luther King Blvd, Dover, Florida |
| Authorized Official Name and Position | Robert Rodriguez (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8133497563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Lee Community Health Center 14254 Martin Luther King Blvd Dover FL 33527-4414 Ph: (813) 349-7700 | Tom Lee Community Health Center 14254 Martin Luther King Blvd Dover FL 33527-4414 Ph: (813) 349-7700 |
| NPI Number | 1144230640 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 3870402548 |
|---|---|
| Medicare Enrollment ID | O20031210000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144230640 | NPI | - | NPPES |
| 029523001 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Suncoast Mobile Medical Bus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14254 Martin Luther King Blvd, Dover, FL 33527 Phone: 813-349-7700 Fax: 813-349-7761 | |
Greater Good Enterprises, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1326 Rushgrove Cir, Dover, FL 33527 Phone: 941-809-1708 |