Community Health Of South Florida INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Homestead, FL. Organization (NPI-2).
NPI number1760645287
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1760645287
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Of South Florida INC
- Organization subpart
- No
- Enumeration date
- Jul 3, 2008
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 208D00000X | General Practice | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- South Dade Health Center (Other Name)
Practice location
13600 Sw 312th StHomestead, FL 33033-5500
Phone 305-242-6069
Mailing address
10300 Sw 216th StMiami, FL 33190-1003
Phone 305-253-5100 · Fax 305-254-4987
Authorized official
Blake Hall
President/Ceo
3052535100
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