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Organization
FCHC
Active
Organization
FCHC
Active
Other names
FCHC
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICE SPENCE (PRESIDENT)
(786) 535-4679
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST STE 203, MIAMI, FL 33150-2064
(786) 535-4679
Mailing address
1190 NW 95TH ST STE 203, MIAMI, FL 33150-2064
(786) 535-4679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
HCC10165
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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