Jessie Trice Community Health System INC
NPI #1861863458 in Carol City, Florida
Provider Information
- NPI Number
- 1861863458
- Entity Type
- Organization
- Organization Name
- Jessie Trice Community Health System INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 8, 2015
- Last Updated
- Nov 27, 2024
Practice Location
- Address
- 3301 MIAMI GARDENS DRIVE
- City
- Carol City
- State
- Florida
- ZIP Code
- 33056-2999
- Phone
- (305) 637-6400
Authorized Official
- Name
- RYAN R HAWKINS
- Title
- PRESIDENT/CEO
- Phone
- (305) 805-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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