NPI | 1285095323 |
---|---|
Doing Business As | HUMANBALANCEWELLNESSCENTER |
Entity Type | Organization |
Authorized Contact | BAUDILIO CUSCO-PRIETO Medical Director 786-502-2178 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 22691) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |