MEDICARE: MIAMI BEACH COMMUNITY HEALTH CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497124176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI BEACH COMMUNITY HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	11645 BISCAYNE BLVD STE 207
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33181-3138
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-938-4044

Provider Business Practice Location Address
First Line	:	11645 BISCAYNE BLVD STE 408
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33181-3148
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-994-0054

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MARK RABINOWITZ
Credential	:	MD
Telephone Number	:	305-538-8835

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	01/23/2025

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