Provider Demographics
NPI:1346979739
Name:FHL MEDICAL CORP
Entity Type:Organization
Organization Name:FHL MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TERUEL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-862-9157
Mailing Address - Street 1:1060 S OCEAN BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-6576
Mailing Address - Country:US
Mailing Address - Phone:561-862-9157
Mailing Address - Fax:
Practice Address - Street 1:1060 S OCEAN BLVD APT 3
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-6576
Practice Address - Country:US
Practice Address - Phone:561-862-9157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty