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Organization
OLYMPUS MEDICAL GROUP
Active
Organization
OLYMPUS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOVANY GONGORA APRN (OWNER)
(786) 660-1844
Entity
Organization
Contact information
Practice address
6405 NW 36TH ST STE 111, VIRGINIA GARDENS, FL 33166-6977
(305) 504-6364
(305) 509-6276
Mailing address
6405 NW 36TH ST STE 111, VIRGINIA GARDENS, FL 33166-6977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2026
Last updated
09/25/2026
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