# GARY D SMALL DPM CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coral Gables Podiatry Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528133022
- **Authorized official:** MISS SAMANTHA MARTINEZ (PRESIDENT)
- **Authorized official phone:** (305) 444-7114

## Contact information

- **Practice address:** 2645 SW 37 AVE, \#101, MIAMI, FL 33133
- **Practice address phone:** (305) 444-7114
- **Practice address fax:** (305) 444-9587
- **Mailing address:** 2645 SW 37 AVE, \#101, MIAMI, FL 33133
- **Mailing address phone:** (305) 444-7114
- **Mailing address fax:** (305) 444-9587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2363 | FL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 10/20/2022