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NPI Code Detail

MEDICARE: CAN COMMUNITY HEALTH, INC.

MEDICARE: CAN COMMUNITY HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician
2101YM0800XMental Health Counselor
31041C0700XClinical Social Worker
41223G0001XGeneral Practice Dentistry
5207R00000XInternal Medicine Physician
6363LF0000XFamily Nurse Practitioner
7363LP0808XPsychiatric/Mental Health Nurse Practitioner
8363LW0102XWomen's Health Nurse Practitioner
9207RI0200XInfectious Disease Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121725OTHERFLBCBS FL GROUP #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104829274
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAN COMMUNITY HEALTH, INC.
Provider Business Mailing Address
First Line : PO BOX 1000 DEPT 394
Second Line :
City : MEMPHIS
State : TN
Zip : 38148-2558
Country : US
Telephone Number : 941-300-4440
Fax Number : 941-404-1760
Provider Business Practice Location Address
First Line : 1231 N TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34237-3116
Country : US
Telephone Number : 941-366-0134
Fax Number : 866-622-3009
Authorized Official
Title or Position : PRESIDENT & CEO
Name : RISHI B PATEL
Credential :
Telephone Number : 941-300-4440
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/06/2025

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Directions to “CAN COMMUNITY HEALTH, INC. ” Practice Location

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