Organization
BISMARK F GONZALEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BISMARK FRANCISCO GONZALEZ MD (PRESIDENT)
(305) 238-2262
Entity
Organization
Contact information
Practice address
13814 SW 152ND ST, MIAMI, FL 33177-1164
(305) 238-2262
(305) 235-9096
Mailing address
13814 SW 152ND ST, MIAMI, FL 33177-1164
(305) 238-2262
(305) 235-9096
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME62724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373315701
—
FL
Enumeration date
02/18/2015
Last updated
02/18/2015
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