| Desoto Memorial Center For Family Health | |
|
888 N Roberts Ave Arcadia FL 34266-9580 | |
| (863) 494-8401 | |
| (863) 491-4328 |
| Full Name | Desoto Memorial Center For Family Health |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 888 N Roberts Ave, Arcadia, Florida |
| Authorized Official Name and Position | Vincent A Sica (CEO) |
| Authorized Official Contact | 8634948403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desoto Memorial Center For Family Health 888 N Roberts Ave Arcadia FL 34266-9580 Ph: (863) 494-8401 | Desoto Memorial Center For Family Health 888 N Roberts Ave Arcadia FL 34266-9580 Ph: (863) 494-8401 |
| NPI Number | 1639261175 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639261175 | NPI | - | NPPES |
| 00746 | Other | FL | MEDICARE |
| 252217900 | Medicaid | FL | |
| 660074300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 4218 (Florida) | Primary |
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