| Rr Moton Elementary | |
|
18050 Homestead Ave Perrine FL 33157-5529 | |
| (305) 238-9520 | |
| Not Available |
| Full Name | Rr Moton Elementary |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 18050 Homestead Ave, Perrine, 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 |
|---|---|
| Rr Moton Elementary 10300 Sw 216th St Miami FL 33190-1003 Ph: (305) 253-5100 | Rr Moton Elementary 18050 Homestead Ave Perrine FL 33157-5529 Ph: (305) 238-9520 |
| NPI Number | 1932354065 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 09/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932354065 | NPI | - | NPPES |
| 029572826 - FQHC | Medicaid | FL | |
| 029572838 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
West Perrine Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18255 Homestead Ave, Perrine, FL 33157 Phone: 305-252-4487 |