Organization · NPI-2

Banyan Community Health Center, INC.

Community/Behavioral Health · Coral Gables, FL

NPI number1659047637
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1659047637
Entity type
Organization (NPI-2)
Legal business name
Banyan Community Health Center, INC.
Organization subpart
No
Enumeration date
Aug 19, 2021
Certification date
Jul 28, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

3850 W Flagler St
Coral Gables, FL 33134-1604

Phone 305-774-3400

Mailing address

6100 Blue Lagoon Dr Ste 400
Miami, FL 33126-2080

Phone 305-398-6100

Authorized official

Vincent Carrodeguas
Ceo
3053986100

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