Organization
REBORN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R GONZALEZ (PRESIDENT)
(305) 643-6601
Entity
Organization
Contact information
Practice address
801 NW 37 AVE, STE 201, MIAMI, FL 33124
(305) 643-6601
Mailing address
801 NW 37 AVE, STE 201, MIAMI, FL 33124
(305) 643-6601
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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