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2724 5th St W Ste B Lehigh Acres FL 33971-1581 | |
| (239) 325-1310 | |
| (888) 803-9101 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2724 5th St W Ste B, Lehigh Acres, Florida |
| Authorized Official Name and Position | Mickey Jones (CEO) |
| Authorized Official Contact | 2396949102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2724 5th St W Ste B Lehigh Acres FL 33971-1581 Ph: (239) 325-1310 | 2724 5th St W Ste B Lehigh Acres FL 33971-1581 Ph: (239) 325-1310 |
| NPI Number | 1134497167 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134497167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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