Organization
FENIX MEDICAL CENTER LLC
Active
Other names
FENIX MEDICAL CENTER LLC, FENIX MEDICAL CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER GUITIERRE ETC (ONWER)
(786) 603-4356
Entity
Organization
Contact information
Practice address
7715 NW 48TH ST STE 350, DORAL, FL 33166-5473
(786) 603-4356
Mailing address
7715 NW 48TH ST STE 360, DORAL, FL 33166-5474
(786) 603-4356
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
08/18/2021
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