# CITRUS HEALTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669625307
- **Authorized official:** MR. MARIO E JARDON LCSW (PRESIDENT,CEO)
- **Authorized official phone:** (305) 825-0300

## Contact information

- **Practice address:** 4175 W 20TH AVE, HIALEAH, FL 33012-5874
- **Practice address phone:** (305) 825-0300
- **Practice address fax:** (305) 818-1885
- **Mailing address:** 4175 W 20TH AVE, HIALEAH, FL 33012-5874
- **Mailing address phone:** (305) 825-0300
- **Mailing address fax:** (305) 818-1885

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 10/28/2008