Healthcare Provider Details

I. General information

NPI: 1285055889
Provider Name (Legal Business Name): CAMILLUS HEALTH CONCERN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2013
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 NW 7TH AVE
MIAMI FL
33136-1403
US

IV. Provider business mailing address

336 NW 5TH ST
MIAMI FL
33128-1616
US

V. Phone/Fax

Practice location:
  • Phone: 305-374-1065
  • Fax: 305-373-7431
Mailing address:
  • Phone: 305-577-4840
  • Fax: 305-373-7431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS AFRAM-GYENING
Title or Position: CEO
Credential:
Phone: 305-533-0189