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Individual

MR. DONNY GONZALEZ MEDINA SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
802 E 25TH ST, HIALEAH, FL 33013-3402
(305) 450-4543
Mailing address
4760 NW 178TH TER, MIAMI GARDENS, FL 33055-3232
(305) 450-4543

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56940
FL

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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