Organization
GM DIAGNOSTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISELA MOYA (PRESIDENT)
(786) 594-0094
Entity
Organization
Contact information
Practice address
175 FOUNTAINBLEAU BLVD, MIAMI, FL 33172-7018
(786) 594-0094
(786) 594-0706
Mailing address
175 FOUNTAINBLEAU BLVD, MIAMI, FL 33172-4511
(786) 594-0094
(786) 594-0706
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
HCC6586
FL
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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