Banuelos Family Medicine, LLC
Organization Active NPI Family Medicine Physician · Milton, FL
NPI 1124366299 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1124366299
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME97139 (FL)
- Legal business name
- BANUELOS FAMILY MEDICINE, LLC
- Practice address
- 6061 Doctors Park
Milton, FL 32570-5073 - Phone
- (850) 983-8500
- Fax
- (850) 983-0009
- NPI assigned
- Jan 24, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Elias Ignacio Banuelos, MD
- Title
- Ceo
- Phone
- (850) 983-8500
National Provider Directory
Locations
6061 Doctors Park
Milton, FL 32570
Phone (850) 602-7245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | ME97139 | FL | Yes |
Addresses
Primary practice location
6061 Doctors Park
Milton, FL 32570-5073
Mailing address
6061 Doctors Park
Milton, FL 32570-5073
Phone (850) 983-8500
Other providers in Milton, FL
- Justin Dean Baker
- Kim Baker
- Kimberlee Baksh
- Ashley Nicole Balderas
- Christina Olivia Marie Baltimore Sr.
- Banuelos Psychiatric Mental Healthcare LLC
- Chad Michael Barden
- Samantha Rena Barfield
- Gracie Barnes
- James A Barnes
All providers in Milton, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.