Organization
FONTAINEBLEAU MEDICAL CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS E AGUILAR M.D (PRESIDENT)
(305) 227-1377
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 1P1, MIAMI, FL 33172-7018
(305) 227-1377
(305) 229-1377
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 1P1, MIAMI, FL 33172-7018
(305) 227-1377
(305) 229-1377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME65110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME65110
MEDICAL DOCTOR LICENSE
FL
Enumeration date
10/24/2011
Last updated
01/09/2012
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