Organization
FMIC 3, LLC
Active
Organization
FMIC 3, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN O GONZALEZ (ADMINISTRATOR)
(407) 944-9355
Entity
Organization
Contact information
Practice address
339 CYPRESS PKWY STE 260, KISSIMMEE, FL 34759-3330
(407) 944-9355
Mailing address
FMIC, 322 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741-4902
(407) 944-9355
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
01/16/2020
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