Organization
CENTRO MEDICO FAMILIAR BUEN PASTOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL FLOREZ MD (MD)
(954) 882-0191
Entity
Organization
Contact information
Practice address
4440 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021-3535
(954) 882-0191
(954) 963-1557
Mailing address
4440 SHERIDAN ST, SUITE C, HOLLYWOOD, FL 33021-3535
(954) 882-0191
(954) 963-1557
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001771300
—
FL
Enumeration date
10/29/2009
Last updated
10/26/2010
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