Organization
NORTH MIAMI COLORECTAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER K PONS MD (MEMBER)
(305) 696-0001
Entity
Organization
Contact information
Practice address
777 E 25TH ST, SUITE409, HIALEAH, FL 33013-3825
(305) 696-0001
(305) 696-0007
Mailing address
777 E 25TH ST, SUITE409, HIALEAH, FL 33013-3825
(305) 696-0001
(305) 696-0007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
09/16/2008
Last updated
09/17/2008
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