Individual
LEONEL DE JESUS GONZALEZ RAPADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SAC
Contact information
Practice address
11750 SW 40TH ST, MIAMI, FL 33175-3530
(305) 223-3000
(305) 228-5435
Mailing address
PO BOX 650990, MIAMI, FL 33265-0990
(305) 223-3000
(305) 228-5435
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
11148
FL
Other
Enumeration date
05/24/2011
Last updated
05/26/2011
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