NPI | 1104481373 |
---|---|
Doing Business As | FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | RAJAN SAREEN Owner 239-694-2161 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
Enumeration Date | 2019-05-03 |
Last Update Date | 2019-05-03 |