NPI | 1689605362 |
---|---|
Other Name | JTCHS FATIMA ZAFAR MD HEALTH WELLNESS CENTER |
Former Legal Business Name | JESSIE TRICE COMMUNITY HEALTH CENTER INC |
Entity Type | Organization |
Authorized Contact | RYAN R. HAWKINS President & CEO 305-805-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: FL 5143177) |
Additional Taxonomies | 251S00000X |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2024-11-26 |