Organization
FCC MANAGEMENT GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTA M FIALLO (OPERATIONS EXECUTIVE)
(786) 441-5660
Entity
Organization
Contact information
Practice address
7208 N STERLING AVE, TAMPA, FL 33614-4228
(813) 932-6600
Mailing address
PO BOX 144640, CORAL GABLES, FL 33114-4640
(786) 441-5660
(786) 441-5660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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