# PAN-AMERICAN SPORTS MEDICINE INSTITUTE OF MIAMI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194993337
- **Authorized official:** MR. JUAN EMILIO GONZALEZ (PRESIDENT)
- **Authorized official phone:** (305) 227-3350

## Contact information

- **Practice address:** 3850 SW 87TH AVE, SUITE 201, MIAMI, FL 33165-5400
- **Practice address phone:** (305) 227-3350
- **Practice address fax:** (305) 227-3306
- **Mailing address:** 3850 SW 87TH AVE, SUITE 201, MIAMI, FL 33165-5400
- **Mailing address phone:** (305) 227-3350
- **Mailing address fax:** (305) 227-3306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME74131 | FL | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 02/11/2008
