NPI | 1205233772 |
---|---|
Doing Business As | BANYAN HEALTH SYSTEMS, INC. |
Entity Type | Organization |
Authorized Contact | VINCENT CARRODEGUAS CEO 305-398-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2021-07-28 |