Organization
MIAMI BEACH COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZEL V GONZALEZ ESQ. (CHIEF HUMAN RESOURCE OFFICER)
(305) 538-8835
Entity
Organization
Contact information
Practice address
710 ALTON RD, MIAMI BEACH, FL 33139-5504
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029544200
—
FL
05
—
029544226
—
FL
05
—
037485700
—
FL
Enumeration date
07/14/2005
Last updated
10/29/2025
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