Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
Active
Other names
G. Holmes Braddock Senior High
Organization subpart
No
Provider details
NPI number
Authorized official
BRODES H HARTLEY JR. (CEO)
(305) 253-5100
Entity
Organization
Contact information
Practice address
3601 SW 147TH AVE, MIAMI, FL 33185-3916
(305) 552-6205
Mailing address
10300 SW 216TH ST, MIAMI, FL 33190-1003
(305) 253-5100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029572837 - FQHC
—
FL
05
—
029572849 - FFS
—
FL
Enumeration date
11/06/2008
Last updated
09/19/2013
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