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Individual

DAGOBERTO HERRADA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14731 SW 42ND WAY, MIAMI, FL 33185-4373
(502) 712-3163
Mailing address
14731 SW 42ND WAY, MIAMI, FL 33185-4373
(502) 712-3163

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9625209
FL
363LF0000X
Family Nurse Practitioner
Primary
11046939
FL

Other

Enumeration date
10/06/2025
Last updated
04/23/2026
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