Individual
AGUSTIN GOMEZ SALGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 W 53RD ST APT 26, HIALEAH, FL 33012-3085
(786) 319-2097
Mailing address
1250 W 53RD ST APT 26, HIALEAH, FL 33012-3085
(786) 319-2097
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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