| Banuelos Family Medicine, Llc | |
|
6061 Doctors Park Milton FL 32570-5073 | |
| (850) 983-8500 | |
| (850) 983-0009 |
| Full Name | Banuelos Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6061 Doctors Park, Milton, Florida |
| Authorized Official Name and Position | Elias Ignacio Banuelos (CEO) |
| Authorized Official Contact | 8509838500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banuelos Family Medicine, Llc 6061 Doctors Park Milton FL 32570-5073 Ph: (850) 983-8500 | Banuelos Family Medicine, Llc 6061 Doctors Park Milton FL 32570-5073 Ph: (850) 983-8500 |
| NPI Number | 1124366299 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124366299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME97139 (Florida) | Primary |
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