Can Community Health, Inc.
Organization Active NPI Infectious Disease Physician · Fort Walton Beach, FL
NPI 1437726759 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1437726759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- CAN COMMUNITY HEALTH, INC.
- Practice address
- 1825 Hurlburt Rd Ste 14
Fort Walton Beach, FL 32547-3737 - Phone
- (850) 610-8820
- Fax
- (844) 297-8690
- 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
Locations
4758 Rowan Rd
New Port Richey, FL 34653
Phone (727) 312-2040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Internal Medicine Physician |
207R00000X | |||
| Infectious Disease Physician |
207RI0200X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
1825 Hurlburt Rd Ste 14
Fort Walton Beach, FL 32547-3737
Mailing address
PO Box 1000 Dept 394
Memphis, TN 38148-1926
Phone (941) 300-4440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 057256024 | Medicaid | FL | |
| 21725 | Other | FL | FL BCBS GROUP # |
Other providers in Fort Walton Beach, FL
- Anthony Michael Camargo
- Bailey Campbell
- Emily Jean Campbell
- Sarah Campbell
- Claudia Fernanda Campuzano
- Cara Mae Canny
- Larissa Caputo
- Julie Caram
- Cristina Amparo Carbia Schneider
- Cardinal ABA Services, LLC
All providers in Fort Walton Beach, 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.