| NPI | 1265170559 |
|---|---|
| Former Legal Business Name | AMERICAN FAMILY CARE GROUP |
| Entity Type | Organization |
| Authorized Contact | LILLIAM PEREZ RODRIGUEZ Vice President 239-244-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-10-19 |