Organization
CITRUS HEALTH NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO JARDON LCSW (PRESIDENT & CEO)
(305) 825-0300
Entity
Organization
Contact information
Practice address
777 E 25TH ST STE 316, HIALEAH, FL 33013-3849
(305) 825-0300
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/03/2023
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