Organization
FENIX CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR ALBA (OWNER)
(305) 364-0745
Entity
Organization
Contact information
Practice address
1490 W 49TH PL STE 580B, SUITE 580B, HIALEAH, FL 33012-3190
(305) 364-0745
Mailing address
1490 W 49TH PL STE 580B, SUITE 580B, HIALEAH, FL 33012-3190
(305) 364-0745
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
07/17/2007
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