| Fenix Health Center Inc | |
|
5901 Nw 183rd St Ste 137 Miami Gardens FL 33015-6009 | |
| (305) 974-4049 | |
| Not Available |
| Full Name | Fenix Health Center Inc |
|---|---|
| Speciality | General Practice |
| Location | 5901 Nw 183rd St Ste 137, Miami Gardens, Florida |
| Authorized Official Name and Position | Dianabel Blanco (OWNER) |
| Authorized Official Contact | 3059744049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Health Center Inc 5901 Nw 183rd St Ste 137 Miami Gardens FL 33015-6009 Ph: (305) 974-4049 | Fenix Health Center Inc 5901 Nw 183rd St Ste 137 Miami Gardens FL 33015-6009 Ph: (305) 974-4049 |
| NPI Number | 1740949965 |
|---|---|
| Provider Enumeration Date | 12/15/2021 |
| Last Update Date | 05/16/2022 |
| Medicare PECOS PAC ID | 5294121034 |
|---|---|
| Medicare Enrollment ID | O20220405000636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740949965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jorge Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
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