South Miami Middle | |
6750 Sw 60th St Miami FL 33143-1909 | |
(305) 669-7012 | |
Not Available |
Full Name | South Miami Middle |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 6750 Sw 60th St, Miami, Florida |
Authorized Official Name and Position | Brodes H Hartley (PRESIDENT/CEO) |
Authorized Official Contact | 3052535100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Miami Middle 10300 Sw 216th Street Miami FL 33190-1003 Ph: (305) 253-5100 | South Miami Middle 6750 Sw 60th St Miami FL 33143-1909 Ph: (305) 669-7012 |
NPI Number | 1528481934 |
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Provider Enumeration Date | 01/22/2014 |
Last Update Date | 01/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528481934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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