Banuelos Family Medicine, LLC
Family Medicine in Milton, FL. Organization (NPI-2).
NPI number1124366299
StatusActive
Last updated in NPPESJan 24, 2013
Details
- NPI
- 1124366299
- Entity type
- Organization (NPI-2)
- Legal business name
- Banuelos Family Medicine, LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2013
- Last updated
- Jan 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME97139 | FL | Yes |
Practice location
6061 Doctors ParkMilton, FL 32570-5073
Phone 850-983-8500 · Fax 850-983-0009
Mailing address
6061 Doctors ParkMilton, FL 32570-5073
Phone 850-983-8500 · Fax 850-983-0009
Authorized official
Elias Ignacio Banuelos
Ceo
8509838500
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