# FCC MANAGEMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518200823
- **Authorized official:** MRS. MARTA M FIALLO (OPERATIONS EXECUTIVE)
- **Authorized official phone:** (786) 441-5660

## Contact information

- **Practice address:** 7208 N STERLING AVE, TAMPA, FL 33614-4228
- **Practice address phone:** (813) 932-6600
- **Mailing address:** PO BOX 144640, CORAL GABLES, FL 33114-4640
- **Mailing address phone:** (786) 441-5660
- **Mailing address fax:** (786) 441-5660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2013
- **Last updated:** 04/04/2013