Organization
CITRUS HEALTH NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO E JARDON L.C.S.W. (PRESIDENT AND C.E.O.)
(305) 424-3100
Entity
Organization
Contact information
Practice address
60 E 3RD ST, SUITE 102C, HIALEAH, FL 33010-4917
(786) 441-5330
(786) 209-2046
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
(305) 818-1885
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
11/05/2014
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