| NPI | 1952768582 |
|---|---|
| Doing Business As | PHYSICIAN NEXT DOOR POINCIANA |
| Entity Type | Organization |
| Authorized Contact | JACKIE FUENTES Billing Manager 786-546-3714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |