Organization
FABCONSULTING1CORP
Active
Other names
humanbalancewellnesscenter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAUDILIO CUSCO-PRIETO M D (MEDICAL DIRECTOR)
(786) 502-2178
Entity
Organization
Contact information
Practice address
6187 NW 167TH ST, SUITE H 13, HIALEAH, FL 33015-4340
(786) 502-2178
Mailing address
6187 NW 167TH ST, SUITE H 13, HIALEAH, FL 33015-4340
(786) 502-2178
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME 22691
FL
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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