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Organization

FUSION MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN MARTINEZ LMT (PRESIDENT)
(786) 516-6931
Entity
Organization

Contact information

Practice address
900 W 49TH ST STE 326, HIALEAH, FL 33012-3435
(786) 516-6931
(786) 542-6567
Mailing address
900 W 49TH ST STE 326, HIALEAH, FL 33012-3435
(786) 516-6931
(786) 542-6567

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/10/2017
Last updated
07/21/2022
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