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General NPI Number Information
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NPI Number | 1609673532
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Entity Type | Organization
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Legal Business Name | FENIX WELLNESS, LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 8370 W FLAGLER ST STE 252
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City | MIAMI
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State | FL
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Zip | 33144-2040
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Country | US
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Telephone | 786-378-5801
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Fax |
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Provider Business Mailing Address
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Address Line | 15190 SW 136TH ST STE 26-27
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City | MIAMI
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State | FL
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Zip | 33196-2604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | ADANYS ALONSO-ALFONSO
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Credential |
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Telephone | 305-998-7885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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