Individual
DR. ERNESTO OSCAR GONZALEZ PUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14420 SW 22ND ST, MIAMI, FL 33175-6338
(305) 300-9775
Mailing address
14420 SW 22ND ST, MIAMI, FL 33175-6338
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1294
FL
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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