Organization
CITRUS HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO E JARDON LCSW (PRESIDENT,CEO)
(305) 825-0300
Entity
Organization
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
(305) 818-1885
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
(305) 818-1885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105376101
—
FL
Enumeration date
10/28/2008
Last updated
10/28/2008
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