MIAMI BEACH COMMUNITY HEALTH CENTER INC (NPI# 1497124176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497124176 |
| Entity Type | Organization |
| Organization Name | MIAMI BEACH COMMUNITY HEALTH CENTER INC |
| Practice Address |
11645 Biscayne Blvd Suite 408 North Miami FL 33181-3155 |
| Mailing Address |
11645 Biscayne Blvd Suite 207 North Miami FL 33181-3138 |
| Practice Telephone | 3055388835 |
| Practice Fax Number | 3059384044 |
| Mailing Telephone | 3055388835 |
| Mailing Fax Number | 3059384044 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-07-13 |
| Authorized Official Name | MARK RABINOWITZ (PRESIDENT/CEO) |
| Authorized Official Telephone | 3055388835 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063411874 | Miami Beach Community Health Center Inc | Clinic/Center | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2005-07-14 |
| 1104357565 | Miami Beach Community Health Center Inc | Clinic/Center | 11645 Biscayne Blvd, Suite 302 & 304, Miami, FL 33181-3155 | 2017-03-27 |
| 1053780734 | Miami Beach Community Health Center Inc | Clinic/Center | 11645 Biscayne Blvd, Suite 401, 403, 405, Miami, FL 33181-3139 | 2015-09-23 |
| 1821251612 | Miami Beach Community Health Center Inc | Clinic/Center | 1221 71st St, Miami, FL 33141-3647 | 2008-07-02 |
| 1215002571 | Miami Beach Community Health Center Inc | Pharmacy | 710 Alton Rd, Miami Beach, FL 33139-5504 | 2006-11-22 |
| 1689749269 | Miami Beach Community Health Center Inc | Pharmacy | 1221 71st St, Miami Beach, FL 33141-3647 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MIAMI BEACH COMMUNITY HEALTH CENTER INC. | 710 Alton Rd, Miami Beach, FL 33139-5504 |
| Street Address |
11645 BISCAYNE BLVD SUITE 408 |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33181-3155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518921428 | Vladimir Derenoncourt | Family Medicine | 11645 Biscayne Blvd, Suite 103-1045, North Miami, FL 33181-3155 | 2006-04-17 |
| 1225663099 | Sofia Davalos | Internal Medicine | 11645 Biscayne Blvd, Ste 302 Ste 304, North Miami, FL 33181-3155 | 2020-03-11 |
| 1972136307 | Roberto Javier Alonso | Physician Assistant | 11645 Biscayne Blvd, North Miami, FL 33181-3155 | 2020-02-13 |
| 1306495163 | Marie Nguyen | Nurse Practitioner | 11645 Biscayne Blvd, North Miami, FL 33181-3155 | 2019-09-05 |
| 1851842710 | Meredith Crabtree | Nurse Practitioner | 11645 Biscayne Blvd, Suite 207, North Miami, FL 33181-3155 | 2016-10-17 |
| 1831548213 | Oluwole Pitan | Registered Nurse | 11645 Biscayne Blvd, Suite 301, North Miami, FL 33181 | 2016-06-07 |
| 1497124390 | Graciela Falkon De Cababie | Physician Assistant | 11645 Biscayne Blvd, Suite 308, North Miami, FL 33181-3155 | 2015-09-21 |
| 1619375953 | Durrell Handwerger | Nurse Practitioner | 11645 Biscayne Blvd, 207, North Miami, FL 33181-3155 | 2014-12-19 |
| 1346646486 | David Berko | Dentist | 11645 Biscayne Blvd, Suite 207, North Miami, FL 33181-3155 | 2014-11-18 |
| 1629495635 | Julia Sophie Salas | Counselor | 11645 Biscayne Blvd, Suite 309, North Miami, FL 33181-3155 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586553 | Roberto M Molina | Physical Therapist | 2640 Ne 135th St Apt 207, North Miami, FL 33181 | 2020-04-01 |
| 1225676240 | Alexander M. Matz P.a. | Physical Therapist | 2240 N.e. 123rd Street, North Miami, FL 33181 | 2019-12-20 |
| 1427586858 | Barbara Machado | Behavioral Analyst | 2254 Ne 136th Terra, North Miami Beach, FL 33181 | 2017-05-30 |
| 1003350026 | Yuma Jean Louis | Behavior Technician | 14895 Ne 18th Ave, North Miami, FL 33181 | 2016-12-09 |
| 1417302381 | Canga Group Inc | Durable Medical Equipment & Medical Supplies | 12555 Biscayne Blvd Ste 950, Miami, FL 33181 | 2016-04-28 |
| 1912367798 | Taly Kadoch | Counselor | 1966 Ne 125th Street, #210, Miami, FL 33181 | 2016-03-07 |
| 1972974699 | Mireille Cange | Nurse Practitioner | 11645 Biscayne Blvd Ste 308, North Miami, FL 33181 | 2015-10-08 |
| 1770959371 | Ushc | Massage Therapist | 1966 Ne 123rd Street, #210, Miami, FL 33181 | 2015-08-18 |
| 1497178834 | Dentalvana | Dentist | 12417 Biscayne Blvd, North Miami, FL 33181 | 2014-01-21 |
| 1720419443 | David Jativa | Internal Medicine | 14358 Biscayne Blvd, North Miami, FL 33181 | 2013-12-05 |
| Find all providers in zip 33181 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730623414 | Borinquen Health Care Center, Inc. | Clinic/Center | 12601 Ne 7th Ave, North Miami, FL 33161-4813 | 2016-12-14 |
| 1033588827 | Borinquen Health Care Center Inc | Clinic/Center | 12603 Ne 7th Avenue, Borinquen Health Woman's Center, North Miami, FL 33161-4813 | 2015-09-22 |
| 1891116497 | Miami Beach Community Health Center, Inc. | Clinic/Center | 11645 Biscayne Blvd Ste And307, Suite 301, 305 and 307, North Miami, FL 33181-3155 | 2013-12-27 |
| 1295032803 | Borinquen Health Care Center Inc | Clinic/Center | 708 Ne 125th St, North Miami, FL 33161-5612 | 2011-02-16 |
| 1255752853 | Miami Beach Community Health Center, Inc. | Clinic/Center | 11645 Biscayne Blvd, Suite 309, North Miami, FL 33181-3155 | 2013-12-27 |
| 1164843769 | Miami Beach Community Health Center, Inc. | Clinic/Center | 11645 Biscayne Blvd, Suite 308, North Miami, FL 33181-3155 | 2013-12-27 |
| 1467606681 | Miami Beach Community Health Center, Inc. | Clinic/Center | 11645 Biscayne Blvd, Suite 103-104, North Miami, FL 33181-3155 | 2008-11-14 |
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| 1750919791 | City of Dunedin | Clinic/Center | 1042 Virginia St, Dunedin, FL 34698-7325 | 2020-03-27 |
| 1407481039 | Primary Care Medical Services of Poinciana Inc | Clinic/Center | 4303 Cameron Preserve Cir, Kissimmee, FL 34746-6304 | 2020-03-04 |
| 1669012498 | Project Health Inc | Clinic/Center | 595 N Lecanto Hwy, Lecanto, FL 34461-9187 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MIAMI |
| Zip Code | 33181 |
Please comment or provide details below to improve the information on MIAMI BEACH COMMUNITY HEALTH CENTER INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.