DELIVERING <br />EXTRAORDINARY CARE<br />TO THE SOUTH MIAMI COMMUNITY<br />30<br />FOR <br />OVER <br />YEARS<br />EXPERTS...
Larkin Community Hospital<br /><ul><li>  A 146-bed acute care Medical, Surgical, Psychiatric and Teaching Hospital.
  Outpatient multiple programs, Family Medicine Center, PHP and ambulatory clinics.
  JCAHO Accredited.
  Actively Participates in the American Hospital Association’s Hospital Quality Alliance.
 Only Hospital in Miami-Dade County to participate in project RED (re-engineered discharge  </li></ul>   to prevent readmi...
 Designated as a National Health Services Corps site by the Health Resources and Services Administration (HRSA).
  Founding member of FIU College of Medicine.
  Member of the Consortium of Excellence in Medical Education, NSU College of Medicine.
  Designated Baker Act receiving facility.
  Telemedicine services.
  Neuroscience Center (including Gamma Knife) opening on January 2012.
  Full service Laboratory and Pathology departments
  Full service Imaging Center including Angiography, MRI and PET CT Scan.</li></li></ul><li>Larkin Hospital Campus<br />Su...
Emergency Department<br /><ul><li>ER Level 2.
 11 beds.
 Short waiting times (single digits).
 Self-registration system.
 Behavioral Health.
 Baker Act Receiving Facility.
 Highly trained staff of Physicians, RNs, LPNs, and EMTs. </li></li></ul><li>Critical Care Department<br /><ul><li>Current...
2  Fully equipped Isolation rooms.
Dedicated Chair of Department, Certified in Internal Medicine, Critical Care and Pulmonary Medicine, nurse practitioner an...
Ratio of 2 patients to 1 RN.
Rapid response and Code Blue team (ACLS certified staff).
Top CCU diagnoses:
Acute respiratory failure
Gastro-intestinal disorders
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Larkin Community Hospital introduction

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Larkin Community Hospital is a 146 Bed Acute Care Teaching Hospital located in South Miami, Florida. This slide show provides a glimpse into this hospital system highlighting graduate medical education.

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Larkin Community Hospital introduction

  1. 1.
  2. 2. DELIVERING <br />EXTRAORDINARY CARE<br />TO THE SOUTH MIAMI COMMUNITY<br />30<br />FOR <br />OVER <br />YEARS<br />EXPERTS IN MEDICINE, SPECIALIST IN CARING<br />7031 S.W. 62nd Ave. South Miami, Florida 33143 • 305.284.7500<br />
  3. 3. Larkin Community Hospital<br /><ul><li> A 146-bed acute care Medical, Surgical, Psychiatric and Teaching Hospital.
  4. 4. Outpatient multiple programs, Family Medicine Center, PHP and ambulatory clinics.
  5. 5. JCAHO Accredited.
  6. 6. Actively Participates in the American Hospital Association’s Hospital Quality Alliance.
  7. 7. Only Hospital in Miami-Dade County to participate in project RED (re-engineered discharge </li></ul> to prevent readmissions).<br /><ul><li> Designated as a hospital in an Area of Critical Need by the United States Department of Health and Human Services.
  8. 8. Designated as a National Health Services Corps site by the Health Resources and Services Administration (HRSA).
  9. 9. Founding member of FIU College of Medicine.
  10. 10. Member of the Consortium of Excellence in Medical Education, NSU College of Medicine.
  11. 11. Designated Baker Act receiving facility.
  12. 12. Telemedicine services.
  13. 13. Neuroscience Center (including Gamma Knife) opening on January 2012.
  14. 14. Full service Laboratory and Pathology departments
  15. 15. Full service Imaging Center including Angiography, MRI and PET CT Scan.</li></li></ul><li>Larkin Hospital Campus<br />Surface Parking Lot, Expansion Site<br />Several Units for Resident’s Rental<br />Home Health Agency<br />Parking Lot, <br />Surface <br />Parking Lot, <br />Outpatient Center<br />Family Medicine Center<br />5 Story Main Hospital Bldg 146 Beds, CCU, Lab, <br /> Imaging Center, Pharmacy, Operating Room Suites.<br />Neuroscience Center - Gamma Knife, PET/CT, <br />MRI, Dr . Aizik Wolf, M.D.<br /> Graduate Medical Education Bldg, Family Medicine Center &<br /> Center for Comparative Effectiveness Research.<br /> 5 Story Executive Office Bldg: Administration, <br /> Performance Improvement, Risk Management, <br /> Education, Finance, Human Resources.<br /> Partial Hospitalization Program, IOP, TCM<br />
  16. 16. Emergency Department<br /><ul><li>ER Level 2.
  17. 17. 11 beds.
  18. 18. Short waiting times (single digits).
  19. 19. Self-registration system.
  20. 20. Behavioral Health.
  21. 21. Baker Act Receiving Facility.
  22. 22. Highly trained staff of Physicians, RNs, LPNs, and EMTs. </li></li></ul><li>Critical Care Department<br /><ul><li>Currently in expansion to 16 beds
  23. 23. 2 Fully equipped Isolation rooms.
  24. 24. Dedicated Chair of Department, Certified in Internal Medicine, Critical Care and Pulmonary Medicine, nurse practitioner and critical care nurses.
  25. 25. Ratio of 2 patients to 1 RN.
  26. 26. Rapid response and Code Blue team (ACLS certified staff).
  27. 27. Top CCU diagnoses:
  28. 28. Acute respiratory failure
  29. 29. Gastro-intestinal disorders
  30. 30. Overdose
  31. 31. Shock
  32. 32. Renal failure
  33. 33. Severe COPD
  34. 34. Post-surgical patients </li></li></ul><li>OR Department<br />State of the art service <br />in a customer friendly environment.<br /><ul><li>5 surgical suites.
  35. 35. 2 fluoroscopes (C-Arms).
  36. 36. General and Laparoscopic Surgery.
  37. 37. Bariatric – Equipped with Hi-Definition Cameras by STORZ.
  38. 38. Vascular Surgery.
  39. 39. Pacemakers and implantable defibrillators.
  40. 40. Thoracic and diagnostic thoracic procedures:</li></ul> Lung resections, pericardial windows, and thoracotomies. <br /><ul><li>Orthopedic – arthroscopic procedures, hip and knee replacements.
  41. 41. Neurosurgery: cranial and lumbar/cervical procedures, the latest LEICA neurosurgery </li></ul> microscope, and a full armamentarium for these procedures. <br /><ul><li>Pain management program: blocks, implantable nerve stimulators and pain pumps.
  42. 42. Urology: fully equipped for cystoscopies as well as open procedures.
  43. 43. Gynecology: D&C, diagnostic laparoscopies, bladder suspensions, abdominal </li></ul> and vaginal hysterectomies.<br /><ul><li>Full endoscopy and Bronchoscopy services.</li></ul>Services Provided<br />
  44. 44. Medical-Surgical and Telemetry Departments<br />Inpatient services to treat diseases such as:<br /><ul><li>Abdominal disorders
  45. 45. Ear/Nose/Throat
  46. 46. Gynecological
  47. 47. Neurosurgical
  48. 48. Oral/Maxillofacial
  49. 49. Orthopedic
  50. 50. Plastic and Reconstructive
  51. 51. Podiatric
  52. 52. Thoracic
  53. 53. Urologic
  54. 54. Vascular
  55. 55. Isolation rooms
  56. 56. Private rooms
  57. 57. Telemetry unit for continuous </li></ul> cardiac monitoring and/or <br /> therapeutic intervention. <br /> <br />
  58. 58. Wound Care Services<br />Outpatient and Inpatient Services.Podiatry services as well as general wound care.Transportation is provided to our patients. We specialize in skin grafts, diabetic ulcers, venous ulcers, pressure ulcers, surgical wounds, and non-healing wounds. <br />
  59. 59. Larkin Neuroscience Center<br />Specialized in Gamma Knife<br /><ul><li>Non-invasive neurosurgical procedure.
  60. 60. Increased accuracy.
  61. 61. Reduced side effects.
  62. 62. Rapid recovery.
  63. 63. Used to treat diseased brain tissue.
  64. 64. Surrounding tissue intact.
  65. 65. This technology allows physicians to operate on brain lesions often considered inoperable.
  66. 66. Non-invasive alternative for many patients for whom traditional brain surgery is not an option.
  67. 67. New hope for patients with brain tumors, vascular malformations and functional disorders.</li></li></ul><li>Dr. Aizik Wolf<br />Larkin Neuroscience Center Director<br />Dr. Aizik L. Wolf earned his medical degree with cum laude honors from Yale Medical School and completed his internship and residency at the University of Minnesota Hospitals. <br />He completed his training in Gamma Knife radiosurgery with Professor Chirster Lindquist at Brown University in Rhode Island. He was formerly Chief of the Epilepsy, Gamma Knife and Skull Base Surgery Unit at the University of Maryland, where he also served as Professor of Neurology and Neurosurgery. <br />Dr. Wolf has treated over 5,000 patients with the Gamma Knife and authored more than 75 scientific publications. <br />He is Board Certified in both adult and pediatric neurosurgery. <br />
  68. 68. PET/CT<br /><ul><li>PET (Positron Emission Tomography) and CT (Computed Tomography).
  69. 69. The PET scan images the biology of disorders at the molecular level.
  70. 70. CT provides a detailed picture of the body.
  71. 71. The two images together provides a state of the art technology where physicians can more accurately diagnose, localize and monitor cancer, heart disease and certain brain disorders. </li></ul>PET Scans can be performed separately or with the CT Scan<br /><ul><li>PET image skull – thigh 
  72. 72. PET image full body
  73. 73. PET image with CT skull-thigh
  74. 74. PET image with CT full body   </li></li></ul><li>MRI<br />MRI (MAGNETIC RESONANCE IMAGING) <br /><ul><li> Combination of magnetic fields and radiofrequency waves.
  75. 75. Cross-sectional image.
  76. 76. The image may be viewed in a number of anatomical planes; axial, coronal and sagittal planes.
  77. 77. Deal modality for soft tissue, ligaments, tendons and bone.</li></li></ul><li>Angiography Suite<br /> Diagnostic Angiography<br /><ul><li>X-ray exam of the arteries of the human body.
  78. 78. To diagnose blockages or other abnormalities of the blood vessels.
  79. 79. To define the site and extent of the abnormality to determine the best treatment options.
  80. 80. The physician inserts a catheter through a small nick in the skin into an artery, usually the femoral artery, guides the catheter into the artery by manipulating it while watching under fluoroscopy.
  81. 81. A contrast material is injected through the catheter while the x-rays are taken to visualize blood vessels.
  82. 82. Alternative to surgical treatment of many conditions which results in significant reductions in the risk, pain, and recovery time compared to traditional surgical treatments.
  83. 83. Less invasive procedure, safer, cost effective and faster than surgery.</li></ul> <br />
  84. 84. Laboratory Department<br />Comprehensive laboratory services 24 hours a day, seven days a week. <br />Mission:<br />To provide the highest quality care with outstanding values and superior customer service. <br /><ul><li>Under the direction of a board-certified in Anatomic and Clinical Pathology physician.
  85. 85. The department is staffed by medical laboratory technologists and technicians who are licensed by the State of Florida, Board of Professional Regulation, phlebotomists and support staff.
  86. 86. Accredited by the Joint Commission and licensed by CLIA.
  87. 87. Specialties: Hematology, Clinical Chemistry, Serology, Blood Bank and Microbiology. </li></li></ul><li>Cardiopulmonary Department<br />PATIENT SERVICES<br /><ul><li> Complete Pulmonary Function Test
  88. 88. Arterial Blood Gases
  89. 89. Pulmonary screening </li></ul>(FVL with/without bronchodilator)<br /><ul><li> Side Arm Nebulizers and IPPB
  90. 90. Bronchoscopy
  91. 91. Stress Testing
  92. 92. Ventilatory Support </li></ul>(BIPAP, VENTILATORS)<br /><ul><li> Pulse Oximetry
  93. 93. Holter Monitoring</li></li></ul><li>Physical Therapy Services<br />The physical therapy department provides the following services:<br /><ul><li>Occupational / Physical Therapy
  94. 94. Speech Therapy
  95. 95. Specialization in osteoarthritis, pain management, status post surgeries, bariatric and neurosurgical patients</li></li></ul><li>Neuromusculoskeletal Medicine Clinic <br /><ul><li>Larkin/Stein Institute of Non-Surgical Orthopedics.
  96. 96. Comprehensive approach incorporates all aspects of musculoskeletal and neuromuscular rehabilitation to achieve optimum outcomes and avoid complications of premature surgical alternatives.
  97. 97. Physicians Board Certified in Neuromusculoskeletal Medicine and Physical Medicine & Rehabilitation. This highly experienced team uses state of the art technology and applies both conventional and alternative treatments to care for their patients.
  98. 98. Outpatient and Inpatient consultation available (shown to reduce the Length of hospital stay).</li></li></ul><li>Mental Health Services<br />Multidisciplinary approach to treatment in a medically <br />supervised, open and caring environment.<br /><ul><li>Inpatient services, Forensic unit
  99. 99. Two Outpatient locations(South Miami and Blue Lagoon)
  100. 100. Partial Hospitalization Program (PHP).
  101. 101. Intensive Outpatient Program (IOP).
  102. 102. Targeted Case Management Program (TCM).
  103. 103. Rainbow program: </li></ul>Mental health and recovery for Lesbian, Gay, Bisexual and <br />Transgender people<br />Goals of the programs: <br /><ul><li>Assist adults experiencing a deterioration in their daily functioning.
  104. 104. Decrease risk for re-hospitalization.
  105. 105. Provide assistance with reintegrating into the community.</li></ul>Each patient is provided with individualized treatment, in a group therapy setting, and given one to one specialized intervention. <br />We offer an experienced treatment team with an expertise in psychiatric disorders, addictions, psychopharmacology and medical issues.<br />
  106. 106. Healthcare Reform<br /><ul><li> Committed to achieving the three-part aim of better for individuals, better health for populations and reduced expenditures for health care services.
  107. 107. Participation in Project RED (Re-engineered Discharge) to reduce unnecessary readmissions.
  108. 108. Current applicant for the Accountable Care Organization (ACO) Pioneer Model launched by the Center for Medicare & Medicaid Innovation. Pioneer ACO’s must commit t entering into outcomes-based contracts with other purchasers such that the majority of the ACO’s total revenues will be derived from such arrangements by the end of the second performance period in December 2013.
  109. 109. Launching a Center for Comparative Effectiveness Research
  110. 110. Use of Atypical Antipsychotics
  111. 111. Choice of first line agents to treat uncomplicated hypertension
  112. 112. Assessing Care of Vulnerable Elders (ACOVE )</li></li></ul><li>Community Outreach<br /><ul><li> ALF411 Initiative: Provide educational activities and a forum for Assisted </li></ul> Living Facility owners and employees.<br /><ul><li> Partnering with Federally Qualified Centers (FQHC): Borinquen Health </li></ul> Care Center, Miami Beach Community Health Center and Helen B. <br /> Bentley Community Health Center including:<br /><ul><li>EMR integration utilizing the Health Choice Network EMR platform </li></ul> (part of EHR Regional Extension Center).<br /><ul><li> Partners in Pioneer ACO Model.
  113. 113. FQHC’s as continuity of care clinics for our Post Graduate Medical
  114. 114. Education programs.
  115. 115. Assisting FQHC’s in providing specialty care on-site.
  116. 116. Developing Urgent Care Centers at selected FQHC’s.
  117. 117. Partnering with the Miami-Dade County School Board, the University of Miami </li></ul>School of Medicine and the John T. Macdonald Foundation to launch school <br />based wellness clinics in selected underserved schools to provide Medical and <br />Psychiatric Services to the students, their siblings and their families.<br /><ul><li> Doctor at Home Program.
  118. 118. Comprehensive Medical Access Clinics (CMA).</li></li></ul><li>CMA<br /><ul><li>Established in 1999.
  119. 119. 5 Clinics:
  120. 120. 8000 Biscayne Blvd. Miami FL 33138
  121. 121. 11865 SW 26th St. Suite G-10. Miami, FL 33175
  122. 122. 6840 Pines Blvd, Pembroke Pines, FL 33024
  123. 123. 7206 N. Armenia Ave. Tampa, FL 33603
  124. 124. 1609 E. Vine St. Kissimmee, FL 34744
  125. 125. All 5 clinics are ACCESS Florida Sites (Department of Children and </li></ul> Families), working closely with State and local Department of health.<br /><ul><li> Primary care services at affordable prices to uninsured individuals.
  126. 126. Focused on prevention and evidence based medical practice.
  127. 127. Specialty Services, Optometry and Dental services also available.
  128. 128. Discounted pricing for outpatient procedures and services.
  129. 129. 24 hour customer service hotline.
  130. 130. Extended hours and Saturday and Sunday hours available.</li></li></ul><li>Graduate Medical Education<br />We are committed to provide high quality Graduate Medical Education, combining teaching, clinical service, compassionate and safe patient care, and clinical research. <br />“Doscendo<br />Discimus”<br />By Teaching <br />We Learn<br />
  131. 131. Graduate Medical Education<br />Larkin Community Hospital <br />Osteopathic Graduate Medical Education <br />In Partnership With The<br />Consortium for Excellence In Medical Education<br />Affiliated to<br />Nova Southeastern University <br />College of Osteopathic Medicine<br /><ul><li> Founding Member of FIU School of Medicine
  132. 132. Ross University School of Medicine</li></ul>We are committed to provide high quality Graduate Medical Education, combining teaching, clinical service, compassionate patient care, and clinical research. <br />Larkin is hereby committed to provide leadership, organizational structure, and the proper resources to ensure that formal quality-assurance residency programs must be conducted at our institution in compliance with the Accreditation Council Requirements.<br />
  133. 133. To Teach <br />Is To Touch A Life Forever<br />Graduate Medical Education<br />Multi-facility Training System<br />Affiliates<br /><ul><li> Miami Children’s Hospital
  134. 134. Hialeah Hospital
  135. 135. University of Miami – SOM
  136. 136. JMH Holtz Children’s Hospital
  137. 137. Beraja Medical Institute
  138. 138. Vitas Hospice and Palliative Care System
  139. 139. Moffitt Cancer & Research Institute
  140. 140. Others Institutions</li></ul>Affiliated to Federal Detention Centers, Immigration and Correctional Facilities.<br />Miami VA Healthcare System <br />Continuity of Care<br />Addiction Psychiatry<br />(Affiliation in process)<br />Federally Qualified Health Centers<br />AOA RESIDENCY PROGRAMS<br /><ul><li>Family Practice and Family Practice/Neuromuscular Medicine
  141. 141. General Psychiatry
  142. 142. Internal Medicine (Ambulatory Track at Borinquen Health Center)
  143. 143. Borinquen Health Centers
  144. 144. Miami Beach Community Health Center
  145. 145. Jessie Trice Community Health Center
  146. 146. Community Health of South Florida (CHI)
  147. 147. Helen B. Bentley Family Health Center </li></ul>Wellness Centers <br />In partnership with the Miami Dade County School System & the Children’s Trust <br />Delivering comprehensive healthcare to underserved students and their families.<br />
  148. 148. Graduate Medical Education<br />Representative Group<br />Jose David Suarez, MD<br />Chief Academic Officer/DIO<br />Proposed Program Director<br />Allopathic Family Medicine Residency<br />Ivan Rodriguez, DO, PhD<br />DIRECTOR OF MEDICAL EDUCATION<br />Program Director<br />Osteopathic Family Medicine Residency<br />Jack J. Michel, MD<br />President, Chairman of the Board<br />Sandy Sosa Guerrero<br />Chief Executive Officer<br />Manuel Suarez, MD<br />Chair , ICU and Pulmonary<br />Professor of Medicine<br />Hospital Rotations <br />Joel Stein, D.O<br />Program Director<br />Family Practice/ NMM<br />Deborah Gracia, D.O<br />Program Director<br />Internal Medicine<br />CMO, Borinquen Health Center <br />Manuel Melendez, MD<br />Associate Program Director<br />Osteopathic Psychiatry Residency<br />Marjorie Caro, MD<br />Program Director Osteopathic Psychiatry Residency<br />
  149. 149. By Teaching <br />We Learn<br />Graduate Medical Education<br />CLINICAL FACULTY, Representative Group<br />GME<br />ADMINISTRATION<br />Representatives<br />FAMILY MEDICIE-José David Suarez, M.D. -Ivan Rodriguez, D.O, PhD-Rafael Palmerola, M.D.-Luis R. Cabrera, M.D.-Jorge Gonzalez, D.O.-Arthur Cowden, D.O.-Joel Stein, DO-Roberto Bermudez, M.D.-Enrique Fernandez, MD<br />Psychiatry: Marjorie Caro, M.D.<br />Manuel Melendez, M.D.<br />Mario Cuervo, M.D.Gavin Rose, M.D. (Forensic Psych)Americo Padilla, M.D. (Child Psych)Jorge Gonzalez,M.D. (Child Psych)Sajid Lopez, MD (Geriatric Psych)<br />Antonio PerezNoy, M.D.Ignacio Bobes, M.D.<br />Hamlet Hassan, M.D.<br />HubertoMerayo, M.D.<br />EmelinaArocha, M.D.<br />Internal Medicine:<br />Deborah Gracia, DO.Manuel Suarez, DO<br />Internal Medicine, Nephrology<br />Federico Dumenigo, M.D.<br />I.M Pulmonary Diseases, ICUManuel Suarez, M.D.Alejandro Chediak, MD<br />Hematology/OncologyPedro De La Rosa, M.D.<br />Endocrinology<br />George Vargas, M.D.<br />Gastroenterology<br />Angel Omar Vento, M.D.<br />OrthopedicsRoberto A. Moya, M.D.PMR: Jose Diaz, D.O<br />OMM, NMM, FM, Sport MedicineJoel Stein, DO <br />Radiology<br />Patricio Rossi, MD<br />Siddhart Pandya, DO<br />Mario Cuervo, MD<br />Chair, Department of Psychiatry <br />EmergencyJan-Mario Dejean, M.D.<br />Pediatrics<br />Pedro Carlos Reimon, M.D.Beatriz Cunil De Sautu, MD <br />(MCH pediatrics director)<br />OB/GYNMark Rabinowitz, MD<br />Hospice and Palliative Care<br />Shaughn Bennett, D.O.<br />Neurology<br />Antonio Mesa, DO (Chair of Department)<br />Ricardo Garcia-Rivera, M.D.Anesthesiology/pain management<br />Juan Cucalon, MD (Chair of Department)<br />Juan Ros Carretero, MD<br />Ophthalomology<br />Roberto Beraja, MD (Chair of Department)<br />Sanford Rakofsky, MD<br />Plastic Surgery<br />Victor Beraja, MD<br />Sanford Lefkowitz<br />Administrative Director of Medical Education<br />Angela Mazon<br />GME Coordinator<br />Research Coordinator<br />Walter Lopez<br />Jose D. Suarez, MD<br />Chair, Department of Family Medicine <br />
  150. 150. Mastering The Core Competencies<br />Graduate Medical Education<br />Our institution is a designated:<br /><ul><li>Area of Critical Need (A.C.N)in South Florida
  151. 151. Healthcare Professional Shortage Area (HPSA ID: 112999123Y)</li></ul>Our Mission is to support Postgraduate Medical Education in collaboration with medical schools and affiliates; in order to graduate competent physicians capable of delivering comprehensive, compassionate and continuous health care to future generations of Floridians.<br /><ul><li> National Health Services Corps Site
  152. 152. (Designated by the U.S. Department of Health and Human Services Health Resources and Services Administration)</li></ul>Larkin provides generous loan repaymentsand substantial benefits for our trainees if in exchange they dedicate postgraduate time to provide healthcare to the indigent, uninsured and underserved population of our state.<br /><ul><li> Florida is one of states with the lowest resident-to-population ratio, facing a serious physician shortage due to the lack of GME slots available
  153. 153. Florida is also a state with a fast growing population, and changing in demographics aging, being one of the “oldest” states, with the highest percentages of people age65 and older making it essential that national, regional and local candidates and medical students have the opportunity to choose Florida as the place to receive their Post-graduate Medical education and establish their future medical practice.</li></li></ul><li>Directions to<br />From the South:<br />Take U.S. 1 to the Florida Turnpike north. Then take State Road 874 to State Road 878. Continue on State Road 878 to U.S. 1. At U.S. 1 turn left heading north on 62nd Avenue. After crossing 72nd Street the Hospital will be on your right.From the North:<br />Take U.S. 1 south to S.W. 72nd Street . Turn right heading west on 72nd Street and another right turn on 62nd Avenue. Larkin Community Hospital will be on your right.From Miami International Airport:<br />Take Le JeuneRoad south to U.S. 1. Take U.S. 1 south to S.W. 72nd Street . Turn left heading west on 72nd Street and another left turn on 62nd Avenue. <br />Larkin Community Hospital will be on your left.<br />Larkin Community Hospital7031 SW 62nd Avenue South Miami, FL 33143Tel: (305) 284-7500Fax: (305) 284-7545<br />

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