Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
Active
Other names
Coconut Grove Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE HALL (PRESIDENT/CEO)
(305) 253-5100
Entity
Organization
Contact information
Practice address
3831 GRAND AVE, MIAMI, FL 33133-4862
(305) 253-5100
(305) 252-5881
Mailing address
10300 SW 216TH ST, MIAMI, FL 33190-1003
(305) 253-5100
(305) 252-5881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029572897
—
FL
05
—
029572898
—
FL
Enumeration date
03/29/2013
Last updated
08/29/2024
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