Can Community Health, INC.
Internal Medicine, Infectious Disease in Fort Walton Beach, FL. Organization (NPI-2).
NPI number1437726759
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1437726759
- Entity type
- Organization (NPI-2)
- Legal business name
- Can Community Health, INC.
- Organization subpart
- No
- Enumeration date
- Jun 6, 2021
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
1825 Hurlburt Rd Ste 14Fort Walton Beach, FL 32547-3737
Phone 850-610-8820 · Fax 844-297-8690
Mailing address
Po Box 1000 Dept 394Memphis, TN 38148-1926
Phone 941-300-4440 · Fax 941-404-1760
Authorized official
Rishi B Patel
President & Ceo
9413004440
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