Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
Active
Other names
Florida City Elementary
Organization subpart
No
Provider details
NPI number
Authorized official
BRODES H HARTLEY JR. (CEO)
(305) 253-5100
Entity
Organization
Contact information
Practice address
364 NW 6TH AVE, FLORIDA CITY, FL 33034-3216
(305) 247-4676
Mailing address
10300 SW 216TH ST, MIAMI, FL 33190-1003
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029572855 - FQHC
—
FL
05
—
029572867 - FFS
—
FL
Enumeration date
11/17/2008
Last updated
09/19/2013
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