NPIMap

Organization Active NPI

Floridian Health Centers, LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
National Provider Identifier
1093481178
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
FLORIDIAN HEALTH CENTERS, LLC
Practice address
17395 NW 59TH Ave
Hialeah, FL 33015
Phone
(305) 662-2185
Fax
(305) 826-2600
NPI assigned
Aug 19, 2021
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Antolin Benitez
Title
Ceo
Phone
(305) 491-0379

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

17395 NW 59TH Ave
Hialeah, FL 33015

Mailing address

14791 Oak LN
Miami Lakes, FL 33016-1518
Phone (305) 491-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221121000572 FL Part B Supplier - Clinic/Group Practice 9436527686 Receives reassigned benefits from 10 practitioners
Practice locations: Hialeah, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2323651Floridian Health Centers LLC17395 NW 59TH Ave, Hialeah, FL 33015Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1093481178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14791 OAK LN",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161518",
            "telephone_number": "305-491-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 NW 59TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-662-2185",
            "fax_number": "305-826-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDIAN HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-07-12",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "ANTOLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-491-0379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.