# FENIX WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FENIX WELLNESS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588461412
- **Legal business name:** FENIX WELLNESS, LLC
- **Authorized official:** ADANYS ALONSO-ALFONSO (VP)
- **Authorized official phone:** (305) 998-7885

## Contact information

- **Practice address:** 9861 E FERN ST, PALMETTO BAY, FL 33157-5413
- **Practice address phone:** (786) 404-1008
- **Mailing address:** 9855 E FERN ST, PALMETTO BAY, FL 33157-5413

## Taxonomy

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

## Other

- **Enumeration date:** 02/27/2025
- **Last updated:** 04/30/2025