Individual
DR. RICHARD J. GORNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
(305) 243-4613
Mailing address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
(305) 243-4613
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME149667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112609-00
—
FL
Enumeration date
07/09/2006
Last updated
05/23/2023
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