Individual
DR. GONZALO DE QUESADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SOUTH DADE NEONATOLOGY, 215 GRAND AVENUE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Mailing address
SOUTH DADE NEONATOLOGY, 215 GRAND AVENUE, CORAL GABLES, FL 33133-4841
(305) 441-7179
(305) 448-7134
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 13221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049834300
—
FL
Enumeration date
09/21/2006
Last updated
08/22/2018
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