| NPI | 1801265970 |
|---|---|
| Other Name | PONCE DE LEON MIDDLE |
| Entity Type | Organization |
| Authorized Contact | PAUL C. VELEZ CEO / President 305-576-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2022-09-09 |