Organization
GARY D SMALL DPM CORP
Active
Other names
Coral Gables Podiatry Center
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SAMANTHA MARTINEZ (PRESIDENT)
(305) 444-7114
Entity
Organization
Contact information
Practice address
2645 SW 37 AVE, #101, MIAMI, FL 33133
(305) 444-7114
(305) 444-9587
Mailing address
2645 SW 37 AVE, #101, MIAMI, FL 33133
(305) 444-7114
(305) 444-9587
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2363
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390143200
—
FL
01
—
DD8704
RAILROAD MEDICARE
FL
Enumeration date
11/21/2006
Last updated
10/20/2022
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