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Organization
JAG MEDICAL CENTER LLC
Active
Organization
JAG MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A GONZALEZ M.D. (OWNER)
(305) 556-7245
Entity
Organization
Contact information
Practice address
1340 W 68TH ST, HIALEAH, FL 33014-4526
(305) 556-7245
(954) 200-7814
Mailing address
1340 W 68TH ST, HIALEAH, FL 33014-4526
(305) 556-7245
(954) 200-7814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0055443
FL
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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