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Organization

ULTRA MEDICAL CENTER, CORP

Active
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Organization

ULTRA MEDICAL CENTER, CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE N GONZALEZ M.D (OWNER)
(305) 644-7407
Entity
Organization

Contact information

Practice address
711 NW 23RD AVE, SUITE 304, MIAMI, FL 33125-3298
(305) 644-7407
(305) 644-7408
Mailing address
711 NW 23RD AVE, SUITE 304, MIAMI, FL 33125-3298
(305) 644-7407
(305) 644-7408

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
136410067
FL

Other

Enumeration date
05/10/2006
Last updated
10/26/2009
About Stedi
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