# MANUEL GAINZA MEDICAL OFFICE INC

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

## Provider details

- **NPI number:** 1528258944
- **Authorized official:** MANUEL GAINZA MD (PRESIDENT)
- **Authorized official phone:** (954) 599-9048

## Contact information

- **Practice address:** 9786 SW 24TH ST, MIAMI, FL 33165-7574
- **Practice address phone:** (305) 485-7833
- **Mailing address:** 9786 SW 24TH ST, MIAMI, FL 33165-7574
- **Mailing address phone:** (305) 485-7833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME86679 | FL | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 08/01/2007