| NPI | 1770313041 |
|---|---|
| Other Name | FAMILY MEDICAL CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | GIL E NIEVES LUCIANO President 939-232-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |