Organization
FENIX MEDICAL CLINIC, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA R FOWLER (OWNER)
(305) 824-2023
Entity
Organization
Contact information
Practice address
4701 W 4TH AVE., HIALEAH, FL 33012
(786) 542-9702
Mailing address
4701 W 4TH AVE., HIALEAH, FL 33012
(305) 824-2023
(786) 814-5703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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