Organization Name: | OREX MEDICAL CENTER CORPORATION |
NPI Number: | 1023160991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANUEL F FERNANDEZ (OWNER) |
Mailing Address: | 4980 W 10th Ave Suite 205 Hialeah |
State: | FL US |
Postal Code: | 330123437 |
Phone Number: | 3055564235 |
Fax Number: | 3055564237 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 05/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME66369 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |