Organization
VERA MEDICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL VERA GIMON MD (MEDICAL ONCOLOGY)
(786) 300-6063
Entity
Organization
Contact information
Practice address
6741 CORAL WAY STE 44, MIAMI, FL 33155-1767
(786) 300-6063
Mailing address
10730 NW 66TH ST APT 312, DORAL, FL 33178-3708
(786) 414-0344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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