Provider Demographics
NPI:1104260017
Name:FXM RESEARCH MIRAMAR, INC.
Entity type:Organization
Organization Name:FXM RESEARCH MIRAMAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND SITE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:X
Authorized Official - Last Name:MONCADA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-430-1097
Mailing Address - Street 1:14601 SW 29TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4712
Mailing Address - Country:US
Mailing Address - Phone:954-430-1097
Mailing Address - Fax:305-675-3152
Practice Address - Street 1:14601 SW 29TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4712
Practice Address - Country:US
Practice Address - Phone:954-430-1097
Practice Address - Fax:305-675-3152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9177927261QR1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch