| NPI | 1932522331 |
|---|---|
| Other Name | PONCE DE LEON |
| Entity Type | Organization |
| Authorized Contact | BRODES H HARTLEY President/CEO 305-253-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |