Provider Demographics
NPI:1619914892
Name:FLEMING HEALTH INSTITUTE
Entity Type:Organization
Organization Name:FLEMING HEALTH INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-319-1798
Mailing Address - Street 1:2520 SW 22ND ST
Mailing Address - Street 2:STE #2-338
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3438
Mailing Address - Country:US
Mailing Address - Phone:786-319-1798
Mailing Address - Fax:
Practice Address - Street 1:888 NW 27TH AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3000
Practice Address - Country:US
Practice Address - Phone:786-319-1798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK 6531Medicare ID - Type UnspecifiedPROVIDER NIMBER