| Community Health Of South Florida, Inc. | |
|
364 Nw 6th Ave Florida City FL 33034-3216 | |
| (305) 247-4676 | |
| Not Available |
| Full Name | Community Health Of South Florida, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 364 Nw 6th Ave, Florida City, Florida |
| Authorized Official Name and Position | Brodes H Hartley (CEO) |
| Authorized Official Contact | 3052535100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Of South Florida, Inc. 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Community Health Of South Florida, Inc. 364 Nw 6th Ave Florida City FL 33034-3216 Ph: (305) 247-4676 |
| NPI Number | 1104071232 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 09/19/2013 |
| Medicare PECOS PAC ID | 6507770526 |
|---|---|
| Medicare Enrollment ID | O20090302000532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104071232 | NPI | - | NPPES |
| 029572855 - FQHC | Medicaid | FL | |
| 029572867 - FFS | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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