Individual
MR. GIRMA MOGES GAMME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DON SOFFER CLINICAL RESEARCH BUILDING, 1120 NW 14TH STREET - 4TH FLOOR, MIAMI, FL 33136
(631) 686-7679
(631) 686-6925
Mailing address
1120 NW 14TH ST FL 4, MIAMI, FL 33136-2107
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
302170
NY
208600000X
Surgery Physician
Primary
ME159498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302170
—
NY
Enumeration date
01/10/2020
Last updated
01/06/2023
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