Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
Active
Other names
South Dade Senior High School
Organization subpart
No
Provider details
NPI number
Authorized official
BRODES H. HARTLEY JR. (CEO)
(305) 253-5100
Entity
Organization
Contact information
Practice address
28401 SW 167TH AVE, HOMESTEAD, FL 33030-2005
(305) 245-3455
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
—
029572832 - FQHC
—
FL
05
—
029572844 - FFS
—
FL
Enumeration date
11/17/2008
Last updated
09/19/2013
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