Did you network with any of the schools on your list? What do your prehealth advisors think? We don't have your actual application, and the information you have provided doesn't give me any insight about your purpose other than you want to address SDH/health disparities. Are you comfortably literate with Spanish or Latinx culture?
I did want to know if school/university operations were affected by the recent hurricanes for the Florida/Southeast schools. I don't know any of the other schools on your list to glean any mission fit, other than (the way you have arranged your data) your experience with underserved/marginalized communities (how many hours in service orientation??? That's not clear and could exclude you.). But there's no detail so it just feels like you're checking boxes to get admitted. Who knows about the quality of your secondary responses. 44 schools is a lot.
I would continue to be patient. Strong GPA's eventually grab attention with your in-state programs (it is Florida though). Are you currently in school in Florida or attending a T10 elsewhere? I presume you are near family so you aren't outside of Florida, right?
If it were me, I'd be impressed you would still pull a high GPA while taking care of family, but it may also signal to me, you want to stay close to home if things are not adequately resolved. You really wouldn't want to move out to California for medical school for example if things aren't settled so that you could apply out there, would you? If so, how did you indicate your interest before you started the process? Oh, we're back to the start of this post: did you network with any of the schools on your list?
In short, good numbers, but nothing has been disclosed here that would tell me you'd be a great person we should interview at the school.