Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
Active
Parent organization
FQHC
Other names
South Miami Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FQHC
Authorized official
MR. BLAKE HALL (PRESIDENT/CEO)
(305) 252-4853
Entity
Organization
Contact information
Practice address
6350 SUNSET DR, SOUTH MIAMI, FL 33143-4836
(305) 253-5100
(305) 252-5811
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
(305) 252-5881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
1309
FL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029572875
—
FL
05
—
029572877
—
FL
05
—
060303115
—
FL
Enumeration date
04/24/2013
Last updated
08/29/2024
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