COMMUNITY HEALTH OF SOUTH FLORIDA INC – Federally Qualified Health Center (FQHC), NPI 1336152347

COMMUNITY HEALTH OF SOUTH FLORIDA INC is a healthcare provider. based in Miami, Florida. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 3928521 (FL). The NPI Number for COMMUNITY HEALTH OF SOUTH FLORIDA INC is 1336152347

Main info

Organization
Name
COMMUNITY HEALTH OF SOUTH FLORIDA INC
NPI
1336152347
Phone
(305) 253-5100
Address
10300 SW 216TH STREET
Authorized Official
BRODES H. HARTLEY JR. CEO
Enumeration Date
14 August 2006
Last Update Date
6 October 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for COMMUNITY HEALTH OF SOUTH FLORIDA INC

  • 10300, Southwest 216th Street, Miami-Dade County, Florida, 33190, United States

    MIAMI, FL 331901003

    Phone: (305) 253-5100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040726000447OFederally Qualified Health Center (Fqhc)FLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33190)

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Reviews

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Frequently asked questions

How is COMMUNITY HEALTH OF SOUTH FLORIDA INC identified in CMS data?
CMS-hosted NPPES data lists COMMUNITY HEALTH OF SOUTH FLORIDA INC with NPI 1336152347.
Can I rely on COMMUNITY HEALTH OF SOUTH FLORIDA INC being an active provider?
As of the registry snapshot, COMMUNITY HEALTH OF SOUTH FLORIDA INC is marked active.
What is COMMUNITY HEALTH OF SOUTH FLORIDA INC best known for clinically?
Directory data describes COMMUNITY HEALTH OF SOUTH FLORIDA INC with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where should I expect COMMUNITY HEALTH OF SOUTH FLORIDA INC on a map?
Expect Miami, Florida as a primary anchor for COMMUNITY HEALTH OF SOUTH FLORIDA INC unless the record lists multiple sites.
Is the information about COMMUNITY HEALTH OF SOUTH FLORIDA INC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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