NPI 1013247550

Florida Department of Health

Organisation Community Health Worker Quincy, FL

Practice location

Address: 278 Lasalle Lefall Dr, Quincy, FL 32351-5324
Phone: (850) 875-7200
Fax: (850) 875-7210

Authorised official

Name: Miriam Gwathney
Title: Medical Director
Phone: (850) 875-7200

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence RN9169219 (FL)

Other Community Health Worker providers in Florida →

Registry record

NPI: 1013247550
Entity type: Organization
NPI issued: 6 Jan 2010
Record last updated: 6 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.