Organization
GOLD COAST PHYSICIAN GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO ROBERT (PRESIDENT)
(305) 772-7807
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST STE 14E, DORAL, FL 33166-6646
(305) 360-3682
(305) 362-5180
Mailing address
8181 NW 36TH ST STE 14E, DORAL, FL 33166-6646
(305) 360-3682
(305) 362-5180
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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