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 |