# BANYAN COMMUNITY HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932872637
- **Authorized official:** MANUEL ANDRES FERNANDEZ (CEO)
- **Authorized official phone:** (305) 398-6100

## Contact information

- **Practice address:** 4900 W OAKLAND PARK BLVD STE 101, LAUDERDALE LAKES, FL 33313-1555
- **Practice address phone:** (305) 398-6100
- **Mailing address:** 1200 NW 78TH AVE STE 100, DORAL, FL 33126-1816
- **Mailing address phone:** (305) 398-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 10/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 014042600 | — | FL |