COMMUNITY HEALTH OF SOUTH FLORIDA INC. NPI 1023351913

NPI Information

  • NPI: 1023351913
  • Provider Name: COMMUNITY HEALTH OF SOUTH FLORIDA, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: COCONUT GROVE HEALTH CENTER
  • Address: 3831 GRAND AVE
    MIAMI, FL
    ZIP 33133
  • Phone: (305) 253-5100

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NPI Details

COMMUNITY HEALTH OF SOUTH FLORIDA, INC. is a federally qualified health center (fqhc) clinic center in Miami, FL. COMMUNITY HEALTH OF SOUTH FLORIDA, INC. NPI is 1023351913. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Coconut Grove Health Center.

The provider's business location address is:

3831 GRAND AVE
MIAMI, FL
ZIP 33133-862
Phone: (305) 253-5100
Fax: (305) 252-5881

The provider's authorized official is Blake Hall .
The authorized official title is President/ceo and has the following contact phone number (305) 253-5100.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1029572898MEDICAIDFLORIDA
2029572897MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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