| Gulf Coast Jewish Family And Community Services, Inc. | |
|
14041 Icot Blvd Clearwater FL 33760 | |
| (727) 450-7269 | |
| (727) 479-1248 |
| Full Name | Gulf Coast Jewish Family And Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14041 Icot Blvd, Clearwater, Florida |
| Authorized Official Name and Position | Carolyn Jimenez Yandek (DIRECTOR CREDENTIALING/BILLING) |
| Authorized Official Contact | 7274303291 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Jewish Family And Community Services, Inc. 14041 Icot Blvd Clearwater FL 33760-3702 Ph: (727) 479-1800 | Gulf Coast Jewish Family And Community Services, Inc. 14041 Icot Blvd Clearwater FL 33760 Ph: (727) 450-7269 |
| NPI Number | 1740483833 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740483833 | NPI | - | NPPES |
| 060569700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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