Organization
CITRUS HEALTH NETWORK, INC.
Active
Other names
Citrus Embrace Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO E. JARDON LCSW (PRESIDENT & CEO)
(305) 424-3100
Entity
Organization
Contact information
Practice address
1645A SW 107TH AVE, MIAMI, FL 33165-7344
(305) 424-3100
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
01/21/2021
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