Organization
JESSIE TRICE COMMUNITY HEALTH SYSTEM, INC
Active
Other names
JTCHS-Miami Shores Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HAWKINS (PRESIDENT/CEO)
(305) 805-1700
Entity
Organization
Contact information
Practice address
9536 NE 2ND AVE, MIAMI SHORES, FL 33138-2705
(305) 637-6400
(305) 636-5155
Mailing address
5607 NW 27TH AVE STE 1, MIAMI, FL 33142-2826
(305) 637-6400
(305) 835-1598
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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