| Avocado Elementary | |
|
16969 Sw 294th St Homestead FL 33030-2541 | |
| (305) 247-4942 | |
| Not Available |
| Full Name | Avocado Elementary |
|---|---|
| Speciality | Clinic/Center |
| Location | 16969 Sw 294th St, Homestead, Florida |
| Authorized Official Name and Position | Brodes H Hartley (CEO) |
| Authorized Official Contact | 3052535100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avocado Elementary 10300 Sw 216th St Cutler Bay FL 33190-1003 Ph: (305) 253-5100 | Avocado Elementary 16969 Sw 294th St Homestead FL 33030-2541 Ph: (305) 247-4942 |
| NPI Number | 1922253053 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 04/17/2013 |
| Medicare PECOS PAC ID | 6507770526 |
|---|---|
| Medicare Enrollment ID | O20090225000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922253053 | NPI | - | NPPES |
| 029572865 - FFS | Medicaid | FL | |
| 029572853 - FQHC | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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