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Organization

BANYAN COMMUNITY HEALTH CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VINCENT CARRODEGUAS (CEO)
(305) 398-6100
Entity
Organization

Contact information

Practice address
1560 SW 1ST ST, MIAMI, FL 33135-2103
(305) 644-2667
Mailing address
6100 BLUE LAGOON DR, SUITE 400, MIAMI, FL 33126-2079
(305) 398-6100

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/17/2014
Last updated
07/28/2021
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