Organization
CITRUS HEALTH NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO JARDON (PRESIDENT & CEO)
(305) 424-3190
Entity
Organization
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3190
(305) 825-1645
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 424-3190
(305) 825-1645
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060304000
—
FL
Enumeration date
02/07/2007
Last updated
09/21/2010
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