Organization
PHOENIX CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MORROW MBA, CPA (CFO)
(727) 656-9272
Entity
Organization
Contact information
Practice address
13730 NW 6TH CT, NORTH MIAMI, FL 33168-2931
(305) 891-3439
(305) 892-6612
Mailing address
13730 NW 6TH CT, NORTH MIAMI, FL 33168-2931
(305) 891-3439
(305) 892-6612
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH 22068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113AD081801
DEPARTMENT OF CHILDREN &
FL
01
—
PH 22068
FLORIDA DEPT. OF HEALTH
FL
Enumeration date
08/07/2007
Last updated
08/07/2007
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