Individual
MR. ALFREDO JOSE GOTERA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
600 NW 35TH AVE STE 102, MIAMI, FL 33125-4000
(407) 820-2693
Mailing address
11150 NW 82ND ST, DORAL, FL 33178-1760
(407) 820-2693
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
18-182
FL
363A00000X
Physician Assistant
Primary
18-182
FL
Other
Enumeration date
05/30/2018
Last updated
11/20/2024
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