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COMMUNITY HEALTH OF SOUTH FLORIDA INC. NPI 1104071232


NPI Information

NPI: 1104071232
Provider Name: COMMUNITY HEALTH OF SOUTH FLORIDA, INC.

Other Name: FLORIDA CITY ELEMENTARY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
364 NW 6TH AVE
FLORIDA CITY, FL
ZIP 33034
Phone: (305) 247-4676
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COMMUNITY HEALTH OF SOUTH FLORIDA, INC. is a federally qualified health center (fqhc) clinic center in Florida City, FL. COMMUNITY HEALTH OF SOUTH FLORIDA, INC. NPI is 1104071232. The provider is registered as an organization entity type.
The provider Other Name Is Florida City Elementary.

The provider's business location address is:

364 NW 6TH AVE
FLORIDA CITY, FL
ZIP 33034-216
Phone: (305) 247-4676

The provider's authorized official is Brodes H Hartley .
The authorized official title is Ceo and has the following contact phone number (305) 253-5100.

The enumeration date for this NPI number is 11/17/2008 and was last updated on 9/19/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1029572855 - FQHCMEDICAIDFLORIDA
2101008MEDICARE OSCAR/CERTIFICATIONFLORIDA
3029572867 - FFSMEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.