Organization
MIAMI GYNECOLOGIC ONCOLOGY
Active
Other names
MGO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMERY MANUEL SALOM MD (OWNER)
(305) 828-8688
Entity
Organization
Contact information
Practice address
7100 W 20TH AVE, SUITE 702, HIALEAH, FL 33016-1897
(305) 828-8688
(305) 828-8655
Mailing address
1030 REDBIRD AVE, MIAMI SPRINGS, FL 33166-3223
(305) 828-8688
(305) 828-8655
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME77021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2707900 00
—
FL
Enumeration date
08/19/2008
Last updated
08/19/2008
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