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Organization
GENERAL HEALTH MEDICAL GROUP,INC
Active
Organization
GENERAL HEALTH MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILFREDO E BRAVO MD (MEDICAL DOCTOR)
(786) 409-3957
Entity
Organization
Contact information
Practice address
85 GRAND CANAL DR STE 104, MIAMI, FL 33144-2566
(786) 409-3957
Mailing address
85 GRAND CANAL DR STE 104, MIAMI, FL 33144-2566
(786) 409-3957
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
ME110036
FL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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