Can Community Health, Inc.
Organization Active NPI Infectious Disease Physician · Jacksonville, FL
NPI 1336716653 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1336716653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- CAN COMMUNITY HEALTH, INC.
- Practice address
- 4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541 - Phone
- (904) 508-0710
- Fax
- (855) 299-0710
- NPI assigned
- Jun 6, 2021
- Organization subpart
- No
Authorized official
- Name
- Rishi B Patel
- Title
- President & Ceo
- Phone
- (941) 300-4440
Corporate family (same tax ID) 33
National Provider Directory
- Tax ID family
- Comprehensive Care Center Inc North Port
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Infectious Disease Physician |
207RI0200X | Yes | ||
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | |||
| Women's Health Nurse Practitioner |
363LW0102X |
Addresses
Primary practice location
4615 Philips Hwy Ste 3
Jacksonville, FL 32207-9541
Mailing address
PO Box 1000 Dept 394
Memphis, TN 38148-1926
Phone (941) 300-4440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057256020 | Medicaid | FL | |
| 21725 | Other | FL BCBS GROUP # |
Other providers in Jacksonville, FL
- Vannheidi Campbell
- Virginia Jayda Campbell
- Jaclynn Campos
- Marina Campos
- Can Community Health Inc.
- Can Community Health, Inc.
- Thomas Joseph Canaan
- Juan Canabal
- Cheryl Ann Canaday
- Katrina Canady
All providers in Jacksonville, FL · Infectious Disease Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.