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Organization
SOUTHERN FLORIDA MEDICAL GROUP
Active
Organization
SOUTHERN FLORIDA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAMAL WAZNI MD (MEMBER)
(586) 243-5225
Entity
Organization
Contact information
Practice address
6399 SW 120TH ST, MIAMI, FL 33156-4832
(305) 519-1447
Mailing address
3657 MADACA LN, TAMPA, FL 33618-2048
(586) 243-5225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME95736
FL
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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