Organization · Type 2 NPI

Banyan2

Primary Care Clinic/Center · Miami Lakes, FL

NPI number 1629316070 Active

Practice location

6175 NW 153rd St, Suite 332
Miami Lakes, FL 33014-2435

Call (305) 663-5696 Map

Mailing address

6619 S Dixie Hwy, Suite 229
Miami, FL 33143-7919

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center 261QH0100XNone listed
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1629316070

Banyan2's National Provider Identifier is 1629316070, issued on Jan 18, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Miami Lakes, FL. The record was last updated on Jan 18, 2013.