Organization
COMMUNITY HEALTH OF SOUTH FLORIDA, INC
Active
Other names
Tavernier Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAKE HALL (PRESDENT/CEO)
(305) 252-4853
Entity
Organization
Contact information
Practice address
91200 OVERSEAS HWY, #17, TAVERNIER, FL 33070-2500
(305) 253-5100
Mailing address
10300 SW 216 ST, MIAMI, FL 33190-1003
(305) 253-5100
(305) 252-5881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010762301
—
FL
05
—
010762328
—
FL
05
—
060303110
—
FL
Enumeration date
01/21/2014
Last updated
08/29/2024
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