FENIX MEDICAL GROUP INC NPI 1952916942

NPI Information

NPI: 1952916942
Provider Name: FENIX MEDICAL GROUP INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
10590 NW 27TH ST UNIT E103E104
DORAL, FL
ZIP 33172
Phone: (786) 703-7944
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FENIX MEDICAL GROUP INC is a mental health (including community mental health center) clinic center in Doral, FL. FENIX MEDICAL GROUP INC NPI is 1952916942. The provider is registered as an organization entity type.

The provider's business location address is:

10590 NW 27TH ST UNIT E103E104
DORAL, FL
ZIP 33172-109
Phone: (786) 703-7944
Fax: (786) 637-2973

The provider's authorized official is George Alejandro Paez .
The authorized official title is Owner and has the following contact phone number (786) 219-7540.

The enumeration date for this NPI number is 9/15/2020 and was last updated on 9/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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