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Organization

GOD'S SPEED MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE GABRIEL MARTIN (PRESIDENT)
(813) 769-9342
Entity
Organization

Contact information

Practice address
11641 BOYETTE RD, RIVERVIEW, FL 33569-5531
(813) 769-9342
(813) 769-9457
Mailing address
11641 BOYETTE RD, RIVERVIEW, FL 33569-5531
(813) 769-9342
(813) 769-9457

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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