Community Flu Shot Providers

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

COMMUNITY FLU SHOT PROVIDERS

Practice address

112 S Federal Hwy
Suite #4
Boynton Beach, FL 33435-4939

Phone

(407) 744-1780

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jean M Ryan

Title

Member

Phone

(407) 744-1780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1437326642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S FEDERAL HWY",
            "address_2": "SUITE #4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354939",
            "telephone_number": "407-744-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S FEDERAL HWY",
            "address_2": "SUITE #4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334354939",
            "telephone_number": "407-744-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY FLU SHOT PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "407-744-1780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.