Bowman Ashe Doolin K-5 | |
6601 Sw 152nd Ave Miami FL 33193-2152 | |
(305) 382-8760 | |
Not Available |
Full Name | Bowman Ashe Doolin K-5 |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6601 Sw 152nd Ave, Miami, Florida |
Authorized Official Name and Position | Brodes H Hartley (CEO) |
Authorized Official Contact | 3052535100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bowman Ashe Doolin K-5 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Bowman Ashe Doolin K-5 6601 Sw 152nd Ave Miami FL 33193-2152 Ph: (305) 382-8760 |
NPI Number | 1063666899 |
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Provider Enumeration Date | 11/06/2008 |
Last Update Date | 09/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063666899 | NPI | - | NPPES |
029572848 - FFS | Medicaid | FL | |
029572836 - FQHC | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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