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CH04032AZ COMMUNITY HEALTH SOUTH FLORIDA, INC. (Terminated)
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Main Details
Name
COMMUNITY HEALTH SOUTH FLORIDA, INC.
Subdivision Name
Ponce De Leon Middle School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-014028
340B ID
CH04032AZ
Grant Number
H80CS00821
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/22/2014
Last Recertification Date
3/1/2016
Termination Date
Termination Reason
4/1/2016
Loss of qualifying grant/support
Contacts
Authorizing Official
Community Health of South FL, inc
Brodes H. Hartley, President/CEO
(305) 252-4853
Primary Contact
Community Health of South FL, inc
Toni Bowen-McDuffey, Director of Pharmacy
(305) 525-1509
Addresses
Street Address
5801 AUGUSTO ST
CORAL GABLES, FL 33146-2606
Billing Address
Community Health of South FL, Inc
10300 SW 216th St
Miami, FL 33190
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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