Organization
HELEN B BENTLEY FAMILY HEALTH CENTER
Active
Other names
Coconut Grove Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALEB A DAVIS PHD (PRESIDENT CEO)
(305) 351-1314
Entity
Organization
Contact information
Practice address
3090 SW 37TH AVE, MIAMI, FL 33133-4311
(305) 447-4950
(305) 444-7866
Mailing address
3090 SW 37TH AVE, MIAMI, FL 33133-4311
(305) 447-4950
(305) 444-7866
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
719670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295553100
—
FL
Enumeration date
05/23/2005
Last updated
08/22/2020
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