Individual
ANGEL GARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 WESTWARD DR, MIAMI SPRINGS, FL 33166-5171
(786) 436-7470
Mailing address
1201 WESTWARD DR, MIAMI SPRINGS, FL 33166-5171
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
G600-001-84-126-0
FL
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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