| NPI | 1740929116 |
|---|---|
| Former Legal Business Name | PROMED HEALTHCARE CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | THOMAS A. GIONIS Medical Director 305-639-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-02 |