| Fmic 2, LLC | |
|
2470 E Highway 50 Ste B Clermont FL 34711-6016 | |
| (407) 944-9355 | |
| (407) 933-1237 |
| Full Name | Fmic 2, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 2470 E Highway 50 Ste B, Clermont, Florida |
| Authorized Official Name and Position | Carmen O Gonzalez (ADMINISTRATOR) |
| Authorized Official Contact | 4079449355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmic 2, LLC 322 N John Young Pkwy Kissimmee FL 34741-4902 Ph: (407) 944-9355 | Fmic 2, LLC 2470 E Highway 50 Ste B Clermont FL 34711-6016 Ph: (407) 944-9355 |
| NPI Number | 1982241600 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 12/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982241600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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