Individual
MISAEL L GONGORA VELIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11348 QUAIL ROOST DR, MIAMI, FL 33157-6567
(305) 253-1660
(305) 253-5775
Mailing address
11348 QUAIL ROOST DR, MIAMI, FL 33157-6567
(305) 253-1660
(305) 253-5775
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ACN1189
FL
Other
Enumeration date
09/26/2019
Last updated
11/30/2023
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