| Liberty City Elementary | |
|
1855 Nw 71 Street Liberty City Elementary Miami FL 33147 | |
| (305) 691-8532 | |
| (305) 696-7842 |
| Full Name | Liberty City Elementary |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1855 Nw 71 Street, Miami, Florida |
| Authorized Official Name and Position | Paul C. Velez (CEO / PRESIDENT) |
| Authorized Official Contact | 3055766611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty City Elementary 3601 Federal Hwy Miami FL 33137-3795 Ph: (305) 576-6611 | Liberty City Elementary 1855 Nw 71 Street Liberty City Elementary Miami FL 33147 Ph: (305) 691-8532 |
| NPI Number | 1043689839 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043689839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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