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16401 Nw 37th Ave Miami Gardens FL 33054-6313 | |
| (305) 637-6400 | |
| (305) 835-1598 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16401 Nw 37th Ave, Miami Gardens, Florida |
| Authorized Official Name and Position | Ryan R Hawkins (PRESIDENT/CEO) |
| Authorized Official Contact | 3056376400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5607 Nw 27th Ave Suite 1 Miami FL 33142-2826 Ph: (305) 637-6400 | 16401 Nw 37th Ave Miami Gardens FL 33054-6313 Ph: (305) 637-6400 |
| NPI Number | 1285056473 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285056473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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