MARTIN LUTHER KING & MARTIN LUTHER KING UCC
NPI 1821251331
Clinic/Center - Federally Qualified Health Center (FQHC) in Homestead, FL

Q: What is Community Health Of South Florida Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since July 03, 2008

810 W MOWRY DR, HOMESTEAD, FL 33030(305) 248-4334 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Martin Luther King & Martin Luther King Ucc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN LUTHER KING & MARTIN LUTHER KING UCC (NPI 1821251331) is a healthcare organization registered as a federally qualified health center (fqhc) in Homestead, Florida and active in the NPI registry since July 2008. The organization lists Jeremy David Radziewicz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1821251331

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOMMUNITY HEALTH OF SOUTH FLORIDA INC

Location Address810 W MOWRY DRHomestead, FL 33030-5746

Mailing Address10300 Sw 216th StMiami, FL 33190-1003 · (305) 253-5100 · Fax (305) 254-4987

Phone(305) 248-4334

Organization SubpartNo

Authorized OfficialJeremy David RadziewiczCfo · (305) 232-6047

Enumeration DateJuly 3, 2008

Last NPPES UpdateAugust 29, 2024

NPPES CertifiedAugust 29, 2024

✔ NPI 1821251331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

810 W MOWRY DR, Homestead, FL 33030

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Other Names 1

Other NameMartin Luther King & Martin Luther King Ucc

Other Identifiers 3

Medicaid051423300FL

Medicaid029572801FL

Medicaid060303105FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SONDRA SMITH ARNP

Nurse Practitioner