# DOCTOR'S MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1710385232
- **Authorized official:** MARIANITZA GONZALEZ (OWNER)
- **Authorized official phone:** (305) 299-9892

## Contact information

- **Practice address:** 12548 SW 8TH ST, MIAMI, FL 33184-1412
- **Practice address phone:** (786) 453-3727
- **Practice address fax:** (786) 693-8265
- **Mailing address:** 8150 SW 8TH ST, SUITE 220, MIAMI, FL 33144-4263
- **Mailing address phone:** (786) 453-3727
- **Mailing address fax:** (786) 693-8265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS13450 | FL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 01/23/2023