Provider Demographics
NPI:1942790936
Name:FAITHFULLY GUIDED HEALTH CENTER
Entity Type:Organization
Organization Name:FAITHFULLY GUIDED HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEEK
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:352-512-0631
Mailing Address - Street 1:40 SW 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1102
Mailing Address - Country:US
Mailing Address - Phone:352-512-0631
Mailing Address - Fax:
Practice Address - Street 1:40 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1102
Practice Address - Country:US
Practice Address - Phone:352-512-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care