Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
Active
Other names
Homestead Middle
Organization subpart
No
Provider details
NPI number
Authorized official
BRODES H HARTLEY JR. (CEO)
(305) 253-5100
Entity
Organization
Contact information
Practice address
650 NW 2ND AVE, HOMESTEAD, FL 33030-5809
(305) 247-4221
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
—
029572856 - FQHC
—
FL
05
—
029572863 - FFS
—
FL
Enumeration date
11/17/2008
Last updated
05/10/2013
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