Organization
INNER DIMENSION DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO GONZALEZ (PRESIDENT)
(305) 642-3139
Entity
Organization
Contact information
Practice address
711 NW 23RD AVE, SUITE 303, MIAMI, FL 33125-3298
(305) 642-3139
Mailing address
711 NW 23RD AVE, SUITE 303, MIAMI, FL 33125-3298
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56484
FL
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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