Organization
PMC FB MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER ANGEL (CEO)
(305) 255-1355
Entity
Organization
Contact information
Practice address
11211 SW 152ND ST, MIAMI, FL 33157-1101
(305) 255-1355
(305) 255-2015
Mailing address
11211 SW 152ND ST, MIAMI, FL 33157-1101
(305) 255-1355
(305) 255-2015
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L21000461247
DOCUEMTN NUMBER
FL
Enumeration date
10/25/2021
Last updated
10/25/2021
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