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Organization

PROSPER MEDICAL OFFICE CORP.

Active
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Organization

PROSPER MEDICAL OFFICE CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUBEN GONZALEZ PTA (PRESIDENT)
(305) 457-0444
Entity
Organization

Contact information

Practice address
1150 NW 72ND AVE STE 377, MIAMI, FL 33126-1920
(305) 457-0444
Mailing address
1150 NW 72ND AVE STE 377, MIAMI, FL 33126-1920
(305) 457-0444

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—

Other

Enumeration date
05/31/2024
Last updated
08/14/2024
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