NPI | 1942878624 |
---|---|
Former Legal Business Name | FENIX MEDICAL CENTER LLC |
Other Name | FENIX MEDICAL CENTER LLC |
Entity Type | Organization |
Authorized Contact | WALTER GUITIERRE Onwer 786-603-4356 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 251K00000X Public Health or Welfare |
Enumeration Date | 2021-06-17 |
Last Update Date | 2021-08-18 |