Provider Demographics
NPI:1528302353
Name:FLEREMO GROUP INC
Entity type:Organization
Organization Name:FLEREMO GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRE
Authorized Official - Prefix:
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-244-8427
Mailing Address - Street 1:13876 SW 56TH ST
Mailing Address - Street 2:#169
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6021
Mailing Address - Country:US
Mailing Address - Phone:305-244-8427
Mailing Address - Fax:305-418-7436
Practice Address - Street 1:13876 SW 56TH ST
Practice Address - Street 2:#169
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6021
Practice Address - Country:US
Practice Address - Phone:305-244-8427
Practice Address - Fax:305-418-7436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center