| Miami Beach Senior High | |
|
2231 Prairie Ave Miami Beach Senior High Miami Beach FL 33139-1517 | |
| (305) 532-4515 | |
| (305) 531-9209 |
| Full Name | Miami Beach Senior High |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2231 Prairie Ave, Miami Beach, Florida |
| Authorized Official Name and Position | Paul C. Velez (CEO / PRESIDENT) |
| Authorized Official Contact | 3055766611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miami Beach Senior High 3601 Federal Hwy Miami FL 33137-3795 Ph: (305) 576-6611 | Miami Beach Senior High 2231 Prairie Ave Miami Beach Senior High Miami Beach FL 33139-1517 Ph: (305) 532-4515 |
| NPI Number | 1386012011 |
|---|---|
| Provider Enumeration Date | 09/11/2015 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386012011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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