Organization
FENIX COMMUNICATIONS INC
Active
Other names
UM Diagnostic Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R RODRIGUEZ (PRESIDENT)
(786) 267-7659
Entity
Organization
Contact information
Practice address
6303 BLUE LAGOON DR STE 400, MIAMI, FL 33126-6040
(877) 553-3319
Mailing address
133 E 14TH ST, HIALEAH, FL 33010-3543
(786) 267-7659
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P18000051697
—
FL
Enumeration date
12/04/2019
Last updated
12/04/2019
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