| Citrus Health Network | |
|
308 E 9th St Hialeah FL 33010-4216 | |
| (305) 572-7140 | |
| (305) 572-7128 |
| Full Name | Citrus Health Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 308 E 9th St, Hialeah, Florida |
| Authorized Official Name and Position | Mario E. Jardon (CEO & PRESIDENT) |
| Authorized Official Contact | 3054243100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Health Network 4175 W 20th Ave Hialeah FL 33012-5874 Ph: (305) 424-3100 | Citrus Health Network 308 E 9th St Hialeah FL 33010-4216 Ph: (305) 572-7140 |
| NPI Number | 1417250002 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417250002 | NPI | - | NPPES |
| 060304003 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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