My Florida Community Health Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY FLORIDA COMMUNITY HEALTH CENTER LLC

Practice address

2711 NW 6TH St Ste E
Gainesville, FL 32609-2964

Phone

(352) 376-1939

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Lisandra Valdivia

Title

Officer

Phone

(352) 378-2492

Specialties & licenses 1

Addresses

Tax ID family

My Florida Community Health Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• My Florida Community Health Center LLC

  • Case Management Agency
  • Miami, FL
  • NPI 1578147914
  NPD tax ID

Locations

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1649848011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10887 NW 17TH ST UNIT 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331722046",
            "telephone_number": "786-233-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 NW 6TH ST STE E",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092964",
            "telephone_number": "352-376-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FLORIDA COMMUNITY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "VALDIVIA",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "352-378-2492"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Alan Musselwhite, LMT
• Maria Elizabeth Mussenden
• Nan D Musson, M.A.,, CCC-SLP, BC-N
• Kimberly Bertic Mutchler, PHARM D.
• Ashraf Bahlul Muzwagi, MD
• Demika C Myers
• James Roger Myers, C.R.N.A.
• Keith Edward Myers, M.D.
• Keith Joseph Myers, P.T.
• Kenneth J. Myers, MD

• Community/Behavioral Health Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.