| NPI | 1801404769 |
|---|---|
| Former Legal Business Name | FMCG MEDICAL CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | DAMIAN SOUTO Owner 786-859-1073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |