Healthcare Provider Details

I. General information

NPI: 1043654122
Provider Name (Legal Business Name): FXM RESEARCH INTERNATIONAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2013
Last Update Date: 04/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11760 BIRD RD SUITE 452
MIAMI FL
33175-3582
US

IV. Provider business mailing address

11760 BIRD RD SUITE 452
MIAMI FL
33175-3582
US

V. Phone/Fax

Practice location:
  • Phone: 305-220-5222
  • Fax: 305-675-3152
Mailing address:
  • Phone: 305-220-5222
  • Fax: 305-675-3152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License NumberRN9177927
License Number StateFL

VIII. Authorized Official

Name: MR. FRANCISCO X MONCADA
Title or Position: PRESIDENT AND SITE DIRECTOR
Credential: R.N.
Phone: 305-220-5222