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Organization

GEMINI MEDICAL GROUP CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VLADIMIR DE LA CRUZ (PRESIDENT)
(305) 752-8880
Entity
Organization

Contact information

Practice address
3900 NW 79TH AVE, SUITE 704, DORAL, FL 33166-6556
(305) 752-8880
(305) 752-2366
Mailing address
3900 NW 79TH AVE, SUITE 704, DORAL, FL 33166-6556
(305) 752-8880
(305) 752-2366

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
07/20/2005
Last updated
12/19/2007
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