Florida City Elementary | |
364 Nw 6th Ave Florida City FL 33034-3216 | |
(305) 247-4676 | |
Not Available |
Full Name | Florida City Elementary |
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Speciality | Clinic/Center |
Location | 364 Nw 6th Ave, Florida City, 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 |
---|---|
Florida City Elementary 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Florida City Elementary 364 Nw 6th Ave Florida City FL 33034-3216 Ph: (305) 247-4676 |
NPI Number | 1104071232 |
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Provider Enumeration Date | 11/17/2008 |
Last Update Date | 09/19/2013 |
Medicare PECOS PAC ID | 6507770526 |
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Medicare Enrollment ID | O20090302000532 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104071232 | NPI | - | NPPES |
029572855 - FQHC | Medicaid | FL | |
029572867 - FFS | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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