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Organization

GA MEDICORP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERARDO AGUILERA GONZALEZ (OWNER)
(954) 881-9852
Entity
Organization

Contact information

Practice address
3157 N UNIVERSITY DR STE 103, HOLLYWOOD, FL 33024-2258
(954) 881-9852
(954) 852-4314
Mailing address
3157 N UNIVERSITY DR STE 103, HOLLYWOOD, FL 33024-2258
(954) 881-9852
(954) 852-4314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/23/2026
Last updated
03/23/2026
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