Individual
ODALYS GONZALEZ MAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 NW 57TH AVE, MIAMI, FL 33126-4802
(305) 728-4823
(855) 740-1524
Mailing address
25 NW 57TH AVE, MIAMI, FL 33126-4802
(305) 728-4823
(855) 740-1524
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18932
PR
208D00000X
General Practice Physician
ACN665
FL
208D00000X
General Practice Physician
Primary
ME143400
FL
Other
Enumeration date
11/10/2014
Last updated
11/28/2021
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