Fenix Rising Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FENIX RISING MEDICAL LLC

Practice address

8401 Lake Worth Rd Ste 110
Lake Worth, FL 33467-2400

Phone

(561) 713-1433

NPI assigned

Apr 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jomo Ebanks

Title

President

Phone

(561) 713-1433

Specialties & licenses 1

Addresses

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Energin Laboratories LLC

  • Clinical Medical Laboratory
  • Deerfield Beach, FL
  • NPI 1629672258

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1831728062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 LAKE WORTH RD STE 110",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672400",
            "telephone_number": "561-713-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 LAKE WORTH RD STE 110",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672400",
            "telephone_number": "561-713-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX RISING MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "EBANKS",
        "authorized_official_first_name": "JOMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-713-1433"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Feinrider, MD
• Felicidad Health Center PA
• Jordan Nicole Feltis
• Jamya Felton
• Shirley Lena Fenelus
• Fenix Therapeutic Services
• Terri Ferguson, LCSW
• Mercedes Fernandez Castro
• Adrian Fernandez Gonzalez
• Dailen Fernandez Moya

• Durable Medical Equipment & Medical Supplies in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.