Organization · NPI-2

Banyan Community Health Center, INC.

Pharmacy, Community/Retail Pharmacy · Coral Gables, FL

NPI number1033155643
StatusActive
Last updated in NPPESOct 8, 2026

Details

NPI
1033155643
Entity type
Organization (NPI-2)
Legal business name
Banyan Community Health Center, INC.
Organization subpart
No
Enumeration date
Jun 21, 2006
Certification date
Oct 8, 2026
Last updated
Oct 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPH9579FLYes
333600000X Pharmacy––
3336I0012X Pharmacy, Institutional Pharmacy––
3336L0003X Pharmacy, Long Term Care Pharmacy––

Other names

  • Banyan Health Systems INC (Doing Business As)

Practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Phone 305-442-1732 · Fax 305-442-7175

Mailing address

1200 Nw 78th Ave Ste 100
Doral, FL 33126-1816

Phone 305-398-6100

Authorized official

Manuel Andres Fernandez
Ceo
5612139211

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