Organization · Type 2 NPI

Banyan Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Coral Gables, FL

NPI number 1104247188 Active

Practice location

3733 W Flagler St
Coral Gables, FL 33134-1601

Fax (305) 398-6099

Mailing address

1200 NW 78th Ave Ste 100
Doral, FL 33126-1816

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1104247188

Banyan Community Health Center, Inc.'s National Provider Identifier is 1104247188, issued on Dec 18, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Coral Gables, FL. The record was last updated on Oct 8, 2026.