# UNIVERSAL MEDICAL & THERAPY INC

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

## Provider details

- **NPI number:** 1790163079
- **Authorized official:** OSMANY ENRIQUE GONZALEZ (PRESIDENT)
- **Authorized official phone:** (305) 336-6217

## Contact information

- **Practice address:** 3900 NW 79 AVE SUITE 476 A, MIAMI, FL 33166-9998
- **Practice address phone:** (305) 336-6217
- **Mailing address:** 3900 NW 79 AVE SUITE 476 A, MIAMI, FL 33166-9998
- **Mailing address phone:** (305) 336-6217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 05/07/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 473808896 | CLINIC/CENTER/MULTI-SPECIALITY | FL |