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Organization
FENIX MEDICAL GROUP INC
Active
Organization
FENIX MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ALEJANDRO PAEZ (OWNER)
(786) 219-7540
Entity
Organization
Contact information
Practice address
12175 SW 132ND CT, MIAMI, FL 33186-6410
(786) 703-7944
(786) 637-2973
Mailing address
10590 NW 27TH ST UNIT E103E104, DORAL, FL 33172-2109
(786) 703-7944
(786) 637-2973
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
04/10/2023
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