| Fmic 3, LLC | |
|
339 Cypress Pkwy Ste 260 Kissimmee FL 34759-3330 | |
| (407) 944-9355 | |
| Not Available |
| Full Name | Fmic 3, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 339 Cypress Pkwy Ste 260, Kissimmee, 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 3, LLC Fmic 322 N. John Young Parkway Kissimmee FL 34741-4902 Ph: (407) 944-9355 | Fmic 3, LLC 339 Cypress Pkwy Ste 260 Kissimmee FL 34759-3330 Ph: (407) 944-9355 |
| NPI Number | 1548807852 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548807852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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