| Homestead Middle | |
|
650 Nw 2nd Ave Homestead FL 33030-5809 | |
| (305) 247-4221 | |
| Not Available |
| Full Name | Homestead Middle |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 650 Nw 2nd Ave, Homestead, 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 |
|---|---|
| Homestead Middle 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Homestead Middle 650 Nw 2nd Ave Homestead FL 33030-5809 Ph: (305) 247-4221 |
| NPI Number | 1194970228 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 05/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194970228 | NPI | - | NPPES |
| 029572856 - FQHC | Medicaid | FL | |
| 029572863 - FFS | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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