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	3336C0002X	Clinic Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH19788	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2007139	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689749269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI BEACH COMMUNITY HEALTH CENTER INC

Provider Business Mailing Address
First Line	:	1221 71ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3647
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-867-4312

Provider Business Practice Location Address
First Line	:	1221 71ST ST
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-3647
Country	:	US
Telephone Number	:	305-538-8835
Fax Number	:	305-867-4312

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	12/23/2024

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