Organization
AMERICAN COMMUNITY HEALTH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE YALIAN BENITEZ (OWNER)
(786) 439-8048
Entity
Organization
Contact information
Practice address
3241 NW 7TH ST, MIAMI, FL 33125-4139
(786) 439-8048
Mailing address
3241 NW 7TH ST, MIAMI, FL 33125-4139
(786) 439-8048
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
FL
05
—
251S00000X
—
FL
Enumeration date
08/13/2020
Last updated
01/11/2021
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