NPI | 1184497778 |
---|---|
Former Legal Business Name | FELIZ CARE CENTERS PLLC |
Entity Type | Organization |
Authorized Contact | ROMAN CARRASCO Director 480-404-7158 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207Y00000X Otolaryngology |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-11-06 |
Last Update Date | 2024-01-21 |