Organization
COMMUNITY HEALTH OF SOUTH FLORIDA INC
Active
Other names
Hammocks Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE HALL (PRESIDENT & CEO)
(305) 252-4853
Entity
Organization
Contact information
Practice address
14591 SW 120TH ST, MIAMI, FL 33186-8638
(305) 253-5100
Mailing address
10300 SW 216 ST, MIAMI, FL 33190
(305) 278-6434
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010762360
—
FL
05
—
010762362
—
FL
Enumeration date
08/26/2021
Last updated
08/29/2024
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