OrganizationActive
Banyan2
NPI 1629316070 · Primary Care Clinic/Center · Miami Lakes, FL
Provider details
- NPI number
- 1629316070
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Newman, Medical Director(305) 663-5696
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
6175 Nw 153rd St
Suite 332
Miami Lakes, FL 33014-2435
Phone: (305) 663-5696
Approximate (ZIP-level) locationGet directions
Mailing address
6619 S Dixie Hwy
Miami, FL 33143-7919
Registry dates
- Enumerated
- 2013-01-18
- Last updated
- 2013-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.