Organization
VILLA CLARA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE JAVIER GONZALEZ (OWNER)
(305) 910-4270
Entity
Organization
Contact information
Practice address
17317 SW 142ND CT, MIAMI, FL 33177-2785
(305) 910-4270
Mailing address
17317 SW 142ND CT, MIAMI, FL 33177-2785
(305) 910-4270
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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