Organization · Type 2 NPI
Banyan Community Health Center, Inc.
Federally Qualified Health Center (FQHC) · Lauderdale Lakes, FL
NPI number
1972979631
Active
Practice location
4900 W Oakland Park Blvd Fl 3
Lauderdale Lakes, FL 33313-7500
Mailing address
1200 NW 78th Ave Ste 100
Doral, FL 33126-1816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Glenis Fabienne Saint-Cyr, APRN FNP-CFamily Nurse Practitioner Lauderdale Lakes, FL NPI 1477433910
- Kelly Gomez, LMHCMental Health Counselor Lauderdale Lakes, FL NPI 1669860607
- Lynda Odera, APRNFamily Nurse Practitioner Lauderdale Lakes, FL NPI 1295359362
- Shoshana Dahan, LCSWClinical Social Worker Lauderdale Lakes, FL NPI 1386186765
- Vicky Jasmine Marsh, DOFamily Medicine Physician Lauderdale Lakes, FL NPI 1861748717
Other federally qualified health center (fqhc) providers in Lauderdale Lakes
About NPI 1972979631
Banyan Community Health Center, Inc.'s National Provider Identifier is 1972979631, issued on Aug 18, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Oct 8, 2026.