Individual
SERGIO REYNALDO GAITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9060 SW 73RD CT, MIAMI, FL 33156-2961
(305) 670-1111
(305) 670-1110
Mailing address
10300 SW 99TH AVE, MIAMI, FL 33176-2879
(786) 564-6612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME130475
FL
Other
Enumeration date
04/08/2013
Last updated
06/28/2022
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