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Organization

MIAMI VIP MEDICAL CORP

Active
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Organization

MIAMI VIP MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AIDENI GONZALEZ P.A. (PHYSICIAN ASSISTANT / IMG)
(305) 587-5587
Entity
Organization

Contact information

Practice address
4355 W 16TH AVE STE 205B, HIALEAH, FL 33012-7668
(786) 953-4111
Mailing address
4355 W 16TH AVE STE 205B, HIALEAH, FL 33012-7668
(305) 587-5587

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
—
—

Other

Enumeration date
06/21/2023
Last updated
05/02/2026
About Stedi
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