| Citrus Health Network Inc | |
|
60 E 3rd St Suite 102c Hialeah FL 33010-4917 | |
| (786) 441-5330 | |
| (786) 209-2046 |
| Full Name | Citrus Health Network Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 60 E 3rd St, Hialeah, Florida |
| Authorized Official Name and Position | Mario E Jardon (PRESIDENT AND C.E.O.) |
| Authorized Official Contact | 3054243100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Health Network Inc 4175 W 20th Ave Hialeah FL 33012-5874 Ph: (305) 825-0300 | Citrus Health Network Inc 60 E 3rd St Suite 102c Hialeah FL 33010-4917 Ph: (786) 441-5330 |
| NPI Number | 1245581917 |
|---|---|
| Provider Enumeration Date | 09/21/2012 |
| Last Update Date | 11/05/2014 |
| Medicare PECOS PAC ID | 9931177334 |
|---|---|
| Medicare Enrollment ID | O20130425000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245581917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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