| Dante B Fascell Elementary School | |
|
15625 Sw 80th St Miami FL 33193-2629 | |
| (305) 576-6611 | |
| (305) 576-0008 |
| Full Name | Dante B Fascell Elementary School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 15625 Sw 80th St, Miami, Florida |
| Authorized Official Name and Position | Paul C. Velez (CEO / PRESIDENT) |
| Authorized Official Contact | 3055766611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dante B Fascell Elementary School 3601 Federal Hwy 6th Floor Miami FL 33137-3795 Ph: (305) 576-6611 | Dante B Fascell Elementary School 15625 Sw 80th St Miami FL 33193-2629 Ph: (305) 576-6611 |
| NPI Number | 1205122546 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205122546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Florida) | Primary |
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