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NPI Code Detail

MEDICARE: OREX MEDICAL CENTER CORPORATION

MEDICARE: OREX MEDICAL CENTER CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianME66369FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023160991
Entity Type Code : Organization
Provider Name (Legal Business Name) : OREX MEDICAL CENTER CORPORATION
Provider Business Mailing Address
First Line : 4980 W 10TH AVE
Second Line : SUITE 205
City : HIALEAH
State : FL
Zip : 33012-3437
Country : US
Telephone Number : 305-556-4235
Fax Number : 305-556-4237
Provider Business Practice Location Address
First Line : 4980 W 10TH AVE
Second Line : SUITE 205
City : HIALEAH
State : FL
Zip : 33012-3437
Country : US
Telephone Number : 305-556-4235
Fax Number : 305-556-4237
Authorized Official
Title or Position : OWNER
Name : MANUEL F FERNANDEZ
Credential : MD
Telephone Number : 305-556-4235
Provider Enumeration Date : 01/18/2007
Last Update Date : 05/06/2014

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Directions to “OREX MEDICAL CENTER CORPORATION ” Practice Location

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