Organization
MIAMI GASTRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY J AVALOS M.D. (OWNER)
(305) 974-4822
Entity
Organization
Contact information
Practice address
925 NE 30TH TER STE 308, HOMESTEAD, FL 33033-7614
(305) 974-4822
(509) 420-9737
Mailing address
PO BOX 800640, MIAMI, FL 33280-0640
(305) 974-4822
(509) 420-9737
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101941600
—
FL
Enumeration date
06/01/2020
Last updated
06/01/2020
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