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Organization
LUIS G GEADA MD
Active
Organization
LUIS G GEADA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS G GEADA MD (MEDICAL DOCTOR)
(305) 226-0817
Entity
Organization
Contact information
Practice address
3821 SW 107TH AVE, MIAMI, FL 33165-3640
(305) 226-0817
(305) 226-2672
Mailing address
3821 SW 107TH AVE, MIAMI, FL 33165-3640
(305) 226-0817
(305) 226-2672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049511500
—
FL
Enumeration date
02/05/2015
Last updated
02/05/2015
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