NPI | 1316626385 |
---|---|
Former Legal Business Name | FELIZ CARE CENTERS PLLC |
Entity Type | Organization |
Authorized Contact | ROMAN CARRASCO CEO 480-404-7158 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LF0000X Nurse Practitioner, Family | |
207Y00000X Otolaryngology | |
208D00000X General Practice | |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-01-21 |