| Fenix Medical Clinic, Corp. | |
|
4701 W 4th Ave. Hialeah FL 33012 | |
| (786) 542-9702 | |
| Not Available |
| Full Name | Fenix Medical Clinic, Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 4701 W 4th Ave., Hialeah, Florida |
| Authorized Official Name and Position | Elena R Fowler (OWNER) |
| Authorized Official Contact | 3058242023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenix Medical Clinic, Corp. 4701 W 4th Ave. Hialeah FL 33012 Ph: (305) 824-2023 | Fenix Medical Clinic, Corp. 4701 W 4th Ave. Hialeah FL 33012 Ph: (786) 542-9702 |
| NPI Number | 1902580699 |
|---|---|
| Provider Enumeration Date | 06/13/2023 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902580699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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