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
8765 SW 165TH AVE STE 110-114, MIAMI, FL 33193-5831
(786) 209-2160
(786) 209-2161
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
—
FL
Other
Enumeration date
07/27/2015
Last updated
07/21/2022
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