| Miami Beach Community Health Center Inc | |
|
11645 Biscayne Blvd Suite 401, 403, 405 Miami FL 33181-3139 | |
| (305) 538-8835 | |
| (305) 994-0054 |
| Full Name | Miami Beach Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11645 Biscayne Blvd, Miami, Florida |
| Authorized Official Name and Position | Lizel V Gonzalez (CHIEF HUMAN RESOURCE OFFICER) |
| Authorized Official Contact | 3055388835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Beach Community Health Center Inc 11645 Biscayne Blvd Ste 207 Miami FL 33181-3138 Ph: (305) 538-8835 | Miami Beach Community Health Center Inc 11645 Biscayne Blvd Suite 401, 403, 405 Miami FL 33181-3139 Ph: (305) 538-8835 |
| NPI Number | 1053780734 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 10/29/2025 |
| Medicare PECOS PAC ID | 8123090925 |
|---|---|
| Medicare Enrollment ID | O20151202003089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053780734 | NPI | - | NPPES |
| 029544220 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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