Brandon Community Health Center | |
313 S Lakewood Dr Brandon FL 33511-2815 | |
(813) 349-7900 | |
(813) 938-6426 |
Full Name | Brandon Community Health Center |
---|---|
Speciality | Clinic/center - Dental |
Location | 313 S Lakewood Dr, Brandon, Florida |
Authorized Official Name and Position | Robert R Rodriguez (CFO) |
Authorized Official Contact | 8133497563 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brandon Community Health Center 13110 Elk Mountain Dr Riverview FL 33579-7182 Ph: (813) 349-7588 | Brandon Community Health Center 313 S Lakewood Dr Brandon FL 33511-2815 Ph: (813) 349-7900 |
NPI Number | 1073057964 |
---|---|
Provider Enumeration Date | 12/12/2016 |
Last Update Date | 12/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073057964 | NPI | - | NPPES |
029557409 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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