MEDICARE: ANKH MEDICAL CENTER, CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
3	261Q00000X	Clinic/Center

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	:	1396456398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANKH MEDICAL CENTER, CORP

Provider Business Mailing Address
First Line	:	3670 NW 6TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4067
Country	:	US
Telephone Number	:	305-785-9203
Fax Number	:

Provider Business Practice Location Address
First Line	:	3670 NW 6TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4067
Country	:	US
Telephone Number	:	305-785-9203
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	YEIDELIN LLAUGERT
Credential	:
Telephone Number	:	305-785-9203

Provider Enumeration Date	:	12/09/2022
Last Update Date	:	03/23/2026

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Directions to “ANKH MEDICAL CENTER, CORP ” Practice Location

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