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Organization

DESALY MONTILLA M.D.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DESALY M GONZALEZ (MANAGER)
(305) 279-7446
Entity
Organization

Contact information

Practice address
8525 SW 92ND ST, SUITE B-4, MIAMI, FL 33156-7365
(305) 279-7446
(305) 598-8753
Mailing address
8525 SW 92ND ST, SUITE B-4, MIAMI, FL 33156-7365
(305) 279-7446
(305) 598-8753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME39089
FL

Other

Enumeration date
09/06/2012
Last updated
09/06/2012
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