Organization
HOMESTEAD CANCER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A GONZALEZ MD (PRESIDENT)
(787) 632-2169
Entity
Organization
Contact information
Practice address
925 NE 30TH TER, SUITE 300, HOMESTEAD, FL 33033-7613
(787) 632-2169
(786) 254-7260
Mailing address
1172 S DIXIE HWY, STE 161, CORAL GABLES, FL 33146-2918
(787) 632-2169
(786) 254-7260
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME121889
FL
Other
Enumeration date
12/15/2014
Last updated
04/22/2015
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