Organization
BANYAN COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
BANYAN COMMUNITY HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANYAN COMMUNITY HEALTH CENTER, INC.
Authorized official
VINCENT CARRODEGUAS (CEO)
(305) 398-6100
Entity
Organization
Contact information
Practice address
3733 W FLAGLER ST STE MOBILE, CORAL GABLES, FL 33134-1601
(305) 774-3400
Mailing address
6100 BLUE LAGOON DR STE 400, MIAMI, FL 33126-2080
(305) 398-6100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
07/28/2021
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