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NPI 1891116497

NPI 1891116497 : MIAMI BEACH COMMUNITY HEALTH CENTER, INC. : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1891116497
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    Entity Type          |    Organization 
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    Legal Business Name  |    MIAMI BEACH COMMUNITY HEALTH CENTER, INC. 
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Dates
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    Enumeration Date     |    12/27/2013
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    Last Update Date     |    01/23/2025
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Provider Practice Location Address
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    Address Line         |    11645 BISCAYNE BLVD STE 301, 305, 307 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33181-3155
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    Country              |    US
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    Telephone            |    305-538-8835
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    Fax                  |    305-994-0054
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Provider Business Mailing Address
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    Address Line         |    11645 BISCAYNE BLVD STE 207 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33181-3138
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    Country              |    US
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    Telephone            |    305-538-8835
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    Fax                  |    305-938-4044
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     MARK  RABINOWITZ 
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    Credential           |    MD
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    Telephone            |    305-538-8835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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