# FONTAINEBLEAU MEDICAL CENTER CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326324252
- **Authorized official:** DR. CARLOS E AGUILAR M.D (PRESIDENT)
- **Authorized official phone:** (305) 227-1377

## Contact information

- **Practice address:** 175 FONTAINEBLEAU BLVD, SUITE 1P1, MIAMI, FL 33172-7018
- **Practice address phone:** (305) 227-1377
- **Practice address fax:** (305) 229-1377
- **Mailing address:** 175 FONTAINEBLEAU BLVD, SUITE 1P1, MIAMI, FL 33172-7018
- **Mailing address phone:** (305) 227-1377
- **Mailing address fax:** (305) 229-1377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME65110 | FL | Yes |

## Other

- **Enumeration date:** 10/24/2011
- **Last updated:** 01/09/2012