Organization
CITRUS HEALTH NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO E JARDON L.C.S.W. (PRESIDENT AND CEO)
(305) 424-3100
Entity
Organization
Contact information
Practice address
705 E 26TH ST, HIALEAH, FL 33013-3823
(305) 835-1551
(305) 835-7414
Mailing address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
(305) 818-1885
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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