Individual
GUSTAVO PLASENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9195 SUNSET DR, SUITE 230, MIAMI, FL 33173-3452
(786) 466-6960
(305) 279-1994
Mailing address
9195 SUNSET DR, SUITE 230, MIAMI, FL 33173-3452
(786) 466-6960
(305) 279-1994
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0031262
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
ME0031262
FL
Other
Enumeration date
11/06/2006
Last updated
10/01/2014
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