Organization
MARISELA GONZALEZ M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISELA GONZALEZ M.D. (PRESIDENT/SOLE PROPRIETOR)
(305) 220-3700
Entity
Organization
Contact information
Practice address
2780 SW 87TH AVE, SUITE 100, MIAMI, FL 33165-3296
(305) 220-3700
(305) 220-9002
Mailing address
2780 SW 87TH AVE, SUITE 100, MIAMI, FL 33165-3296
(305) 220-3700
(305) 220-9002
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME59833
FL
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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