Organization · NPI-2

167th Street Medical Center INC

Family Medicine · North Miami Beach, FL

NPI number1386840189
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1386840189
Entity type
Organization (NPI-2)
Legal business name
167th Street Medical Center INC
Organization subpart
No
Enumeration date
Jun 27, 2007
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine–FLYes

Other names

  • Dr. Yukhanan Benjamin (Doing Business As)

Practice location

909 N Miami Beach Blvd
Suite 101
North Miami Beach, FL 33162-3712

Phone 305-945-1288 · Fax 305-949-7479

Mailing address

909 N Miami Beach Blvd
Suite 101
North Miami Beach, FL 33162-3712

Phone 305-945-1288 · Fax 305-949-7479

Authorized official

Yukhanan Benjamin
Doctor, Owner
3059451288

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