| Ponce De Leon Middle | |
|
5801 Augusto Street Ponce De Leon Middle Coral Gables FL 33146 | |
| (305) 661-1611 | |
| (305) 666-3140 |
| Full Name | Ponce De Leon Middle |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5801 Augusto Street, Coral Gables, 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 |
|---|---|
| Ponce De Leon Middle 3601 Federal Hwy Miami FL 33137-3795 Ph: (305) 576-6611 | Ponce De Leon Middle 5801 Augusto Street Ponce De Leon Middle Coral Gables FL 33146 Ph: (305) 661-1611 |
| NPI Number | 1801265970 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801265970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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