Active NPI
FXM Clinical Research Miami LLC
- Research Clinic/Center
- Miami, FL
National Provider Identifier
1497234512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Research Clinic/Center
- License
- PA9110219
- Legal business name
- FXM CLINICAL RESEARCH MIAMI LLC
- Practice address
- 11760 Bird Rd Ste 452
Miami, FL 33175-3598 - Phone
- (305) 220-5222
- Fax
- (305) 675-3152
- NPI assigned
- Aug 9, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maritza D. Diego, PA-C
- Title
- Chief Executive Officer
- Phone
- (305) 220-5222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Clinic/Center | 261QR1100X | PA9110219 | FL | Primary |
Addresses
Primary practice location
11760 Bird Rd Ste 452
Miami, FL 33175-3598
Mailing address
11760 Bird Rd Ste 452
Miami, FL 33175-3598
Phone (305) 220-5222
National Provider Directory
National Provider DirectoryLocations
11760 Bird Rd
Ste 452
Miami, FL 33175
Phone (305) 220-5222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533772800000",
"number": "1497234512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11760 BIRD RD STE 452",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753598",
"telephone_number": "305-220-5222",
"fax_number": "305-675-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11760 BIRD RD STE 452",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753598",
"telephone_number": "305-220-5222",
"fax_number": "305-675-3152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FXM CLINICAL RESEARCH MIAMI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A",
"authorized_official_last_name": "DIEGO",
"authorized_official_first_name": "MARITZA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "305-220-5222",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": "FL",
"license": "PA9110219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.