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Organization

COMMUNITY HEALTH OF SOUTH FLORIDA INC

Active
Other names
Campbell Drive Elementary
Organization subpart
No

Provider details

NPI number
Authorized official
BRODES H HARTLEY JR. (CEO)
(305) 253-5100
Entity
Organization

Contact information

Practice address
15790 SW 307TH ST, HOMESTEAD, FL 33033-4200
(305) 245-0270
(305) 247-7903
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
029572821 - FQHC
FL
05
029572822 - FFS
FL
Enumeration date
07/03/2008
Last updated
04/17/2013
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