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Organization

MANUEL D GONZALEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL D. GONZALEZ MD (AUTHORIZED OFFICIAL)
(786) 464-5120
Entity
Organization

Contact information

Practice address
2141 NW 7TH ST, MIAMI, FL 33125-3483
(786) 688-0105
(786) 756-0707
Mailing address
2141 NW 7TH ST, MIAMI, FL 33125-3483
(786) 688-0105

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1249800
FL
Enumeration date
01/04/2022
Last updated
01/04/2022
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