Provider Demographics
NPI:1184920951
Name:ST. LUCIE COUNTY HEALTH ACCESS NETWORK, INC. DBA/ HANDS
Entity type:Organization
Organization Name:ST. LUCIE COUNTY HEALTH ACCESS NETWORK, INC. DBA/ HANDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PASSERI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LFACHE
Authorized Official - Phone:772-344-2548
Mailing Address - Street 1:3855 S US HIGHWAY 1
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982
Mailing Address - Country:US
Mailing Address - Phone:772-344-2541
Mailing Address - Fax:772-344-2544
Practice Address - Street 1:3855 S US HIGHWAY 1
Practice Address - Street 2:SUITE B
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34982-6621
Practice Address - Country:US
Practice Address - Phone:772-344-2541
Practice Address - Fax:772-344-2544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care