Organization
JG DOLLAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NOELIA GONZALEZ DOLLAR APRN (PRESIDENT)
(305) 333-9068
Entity
Organization
Contact information
Practice address
22672 SW 105TH AVE, CUTLER BAY, FL 33190-1457
(305) 333-9068
Mailing address
22672 SW 105TH AVE, CUTLER BAY, FL 33190-1457
(305) 333-9068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11016793
LICENSE NUMBER
FL
Enumeration date
04/05/2023
Last updated
05/05/2023
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