Provider Demographics
NPI:1194509208
Name:FAX PHARMA INC
Entity type:Organization
Organization Name:FAX PHARMA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
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:786-590-1567
Mailing Address - Street 1:3850 BIRD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1507
Mailing Address - Country:US
Mailing Address - Phone:786-590-1567
Mailing Address - Fax:786-524-5733
Practice Address - Street 1:3850 BIRD RD STE 105
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-1507
Practice Address - Country:US
Practice Address - Phone:786-590-1567
Practice Address - Fax:786-524-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch