Provider Demographics
NPI:1003654807
Name:SHEKINAH FAMILY MEDICAL CENTERS LLC
Entity type:Organization
Organization Name:SHEKINAH FAMILY MEDICAL CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELET
Authorized Official - Middle Name:
Authorized Official - Last Name:FELIX
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:786-738-1805
Mailing Address - Street 1:241 SE 2ND ST
Mailing Address - Street 2:
Mailing Address - City:BELLE GLADE
Mailing Address - State:FL
Mailing Address - Zip Code:33430-3507
Mailing Address - Country:US
Mailing Address - Phone:561-446-4312
Mailing Address - Fax:561-207-7760
Practice Address - Street 1:241 SE 2ND ST
Practice Address - Street 2:
Practice Address - City:BELLE GLADE
Practice Address - State:FL
Practice Address - Zip Code:33430-3507
Practice Address - Country:US
Practice Address - Phone:561-708-8917
Practice Address - Fax:561-207-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty