Organization
A AND A MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO GONZALEZ (PRESIDENT)
(305) 646-1000
Entity
Organization
Contact information
Practice address
1149 SW 27TH AVE, SUITE 203, MIAMI, FL 33135-4758
(305) 646-1000
(305) 646-1656
Mailing address
1149 SW 27TH AVE, SUITE 203, MIAMI, FL 33135-4758
(305) 646-1000
(305) 646-1656
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HCC6859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
595400-4
OCCUPATIONAL LICENSE
FL
Enumeration date
08/31/2006
Last updated
06/13/2008
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