Organization
BANYAN COMMUNITY HEALTH CENTER, INC.
Active
Other names
Banyan Health Systems Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL ANDRES FERNANDEZ (CEO)
(561) 213-9211
Entity
Organization
Contact information
Practice address
3850 W FLAGLER ST, CORAL GABLES, FL 33134-1604
(305) 442-1732
(305) 442-7175
Mailing address
2300 NW 89TH PL FL 3, DORAL, FL 33172-2431
(305) 398-6100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH9579
FL
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109574900
—
FL
Enumeration date
06/21/2006
Last updated
04/15/2025
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