Provider Demographics
NPI:1932336740
Name:FEMHEALTH LLC
Entity Type:Organization
Organization Name:FEMHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ELADIO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-822-3044
Mailing Address - Street 1:1951 SW 172ND AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5593
Mailing Address - Country:US
Mailing Address - Phone:305-822-3044
Mailing Address - Fax:305-817-8309
Practice Address - Street 1:1951 SW 172ND AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5593
Practice Address - Country:US
Practice Address - Phone:305-822-3044
Practice Address - Fax:305-817-8309
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIDA WOMEN CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME40138261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service