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Organization

MANUEL GAINZA MEDICAL OFFICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL GAINZA MD (PRESIDENT)
(954) 599-9048
Entity
Organization

Contact information

Practice address
9786 SW 24TH ST, MIAMI, FL 33165-7574
(305) 485-7833
Mailing address
9786 SW 24TH ST, MIAMI, FL 33165-7574
(305) 485-7833

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME86679
FL

Other

Enumeration date
08/01/2007
Last updated
08/01/2007
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