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Organization

FENIX WELLNESS, LLC

Active
Parent organization
FENIX WELLNESS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FENIX WELLNESS, LLC
Authorized official
ADANYS ALONSO-ALFONSO (VP)
(305) 998-7885
Entity
Organization

Contact information

Practice address
9861 E FERN ST, PALMETTO BAY, FL 33157-5413
(786) 404-1008
Mailing address
9855 E FERN ST, PALMETTO BAY, FL 33157-5413

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/27/2025
Last updated
04/30/2025
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