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Organization

GONZALO MOSQUERA MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GONZALO MOSQUERA MD (DIRECTOR/PRESIDENT)
(813) 380-1761
Entity
Organization

Contact information

Practice address
6735 CONROY RD STE 419, ORLANDO, FL 32835-3566
(813) 380-1761
Mailing address
17600 SW 154TH PL, MIAMI, FL 33187-7818
(813) 380-1761

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0071342
FL

Other

Enumeration date
04/18/2016
Last updated
04/18/2016
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