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Organization
SOUTH MIAMI MEDICAL GROUP LLC
Active
Organization
SOUTH MIAMI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR GONZALEZ MD (PHYSICIAN)
(786) 718-3739
Entity
Organization
Contact information
Practice address
7400 SW 50TH TER STE 203, MIAMI, FL 33155-4486
(786) 534-8131
(786) 534-8191
Mailing address
7400 SW 50TH TER STE 203, MIAMI, FL 33155-4486
(786) 534-8131
(786) 534-8191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2021
Last updated
07/16/2021
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