Individual
GREGORY JOSE RADA LONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20200 W DIXIE HWY STE 5G, MIAMI, FL 33180-1919
(305) 878-1920
Mailing address
915 NW 1ST AVE APT H1801, MIAMI, FL 33136-3579
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-483
FL
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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