Organization Active NPI

South Florida Community Health Aliance, Inc

  • Clinic/Center
  • Sebastian, FL
National Provider Identifier
1265717508
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTH FLORIDA COMMUNITY HEALTH ALIANCE, INC
Practice address
1261 Seahouse St
Sebastian, FL 32958-5416
Phone
(772) 643-2791
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Haleemah Ahmad, DDS
Title
Ceo
Phone
(772) 643-2791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1261 Seahouse St
Sebastian, FL 32958-5416

Mailing address

1261 Seahouse St
Sebastian, FL 32958-5416
Phone (772) 643-2791

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1265717508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 SEAHOUSE ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585416",
            "telephone_number": "772-643-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 SEAHOUSE ST",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329585416",
            "telephone_number": "772-643-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA COMMUNITY HEALTH ALIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "HALEEMAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-643-2791",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.