| NPI | 1659334670 |
|---|---|
| Doing Business As | COUNTRY WALK FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RENE N MAYORGA President 305-378-1302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME54068) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2011-11-22 |