Organization
COMMUNITY HEALTH OF SOUTH FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODES H HARTLEY JR. (CREDENTIALING SPECIALIST)
(305) 253-5100
Entity
Organization
Contact information
Practice address
11901 SW 2ND ST, MIAMI, FL 33184-1601
(305) 226-4356
Mailing address
10300 SW 216TH ST, CUTLER BAY, FL 33190-1003
(305) 253-5100
(305) 254-4987
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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