| Fenix Medical Group Inc | |
|
12175 Sw 132nd Ct Miami FL 33186-6410 | |
| (786) 703-7944 | |
| (786) 637-2973 |
| Full Name | Fenix Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12175 Sw 132nd Ct, Miami, Florida |
| Authorized Official Name and Position | George Alejandro Paez (OWNER) |
| Authorized Official Contact | 7862197540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Medical Group Inc 10590 Nw 27th St Unit E103e104 Doral FL 33172-2109 Ph: (786) 703-7944 | Fenix Medical Group Inc 12175 Sw 132nd Ct Miami FL 33186-6410 Ph: (786) 703-7944 |
| NPI Number | 1952916942 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952916942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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