Jessie Trice Community Health System INC
NPI #1639518798 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1639518798
- Entity Type
- Organization
- Organization Name
- Jessie Trice Community Health System INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 21, 2013
- Last Updated
- Nov 26, 2024
Practice Location
- Address
- 20612 NW 27TH AVE
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33056-1469
- Phone
- (305) 637-6400
Authorized Official
- Name
- RYAN R HAWKINS
- Title
- PRESIDENT/CEO
- Phone
- (305) 637-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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