Organization
FXM CLINICAL RESEARCH MIRAMAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA D. DIEGO PA-C (CHIEF EXECUTIVE OFFICER)
(954) 430-1097
Entity
Organization
Contact information
Practice address
14601 SW 29TH ST STE 208, MIRAMAR, FL 33027-4714
(954) 430-1097
(305) 675-3152
Mailing address
14601 SW 29TH ST STE 208, MIRAMAR, FL 33027-4714
(954) 430-1097
(305) 675-3152
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
PA9110219
FL
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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