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NPI Code Detail

MEDICARE: FMHR LLC

MEDICARE: FMHR LLC
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
1314000000XSkilled Nursing FacilitySNF1163096FL

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 : 1720495120
Entity Type Code : Organization
Provider Name (Legal Business Name) : FMHR LLC
Provider Business Mailing Address
First Line : 390 NE 135TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-3967
Country : US
Telephone Number : 305-895-4804
Fax Number : 305-892-7411
Provider Business Practice Location Address
First Line : 390 NE 135TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-3967
Country : US
Telephone Number : 305-895-4804
Fax Number : 305-892-7411
Authorized Official
Title or Position : ADMINISTRATOR
Name : SAMUEL CHAVIN
Credential :
Telephone Number : 305-895-4804
Provider Enumeration Date : 07/17/2014
Last Update Date : 11/24/2014

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Directions to “FMHR LLC ” Practice Location

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