Fenix Medical Clinic, Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FENIX MEDICAL CLINIC, CORP.

Practice address

4701 W 4TH Ave.
Hialeah, FL 33012

Phone

(786) 542-9702

NPI assigned

Jun 13, 2023

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elena R Fowler

Title

Owner

Phone

(305) 824-2023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1902580699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W 4TH AVE.",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-824-2023",
            "fax_number": "786-814-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W 4TH AVE.",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-542-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX MEDICAL CLINIC, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-824-2023"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Viera Medical Inc
• Alexandra Felpeto, PSY.D.
• Femhealth Group LLC
• Fenix ABA Therapy LLC
• Fenix Corporation
• Vivian Fennen
• Natalie Fente, APRN
• Marcio Cesar Ferez Sr., MD
• Yelemnys Fernadez
• Ericka Fernandes D Angelo

• Family Medicine Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.