| NPI | 1487657516 |
|---|---|
| Former Legal Business Name | COCONUT GROVE FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CALEB A DAVIS President CEO 305-351-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 719670) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |