Active NPI
South Florida Community Health Aliance, Inc
- Clinic/Center
- Sebastian, FL
National Provider Identifier
1265717508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.