| NPI | 1821805938 |
|---|---|
| Doing Business As | IBANEZ CLINICAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | GISELLE IBANEZ Mngr 786-422-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |