Organization
NORTH GABLES FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO REYES DPM (PRESIDENT)
(305) 461-3448
Entity
Organization
Contact information
Practice address
4540 NW 7TH ST, MIAMI, FL 33126-2307
(305) 461-3448
Mailing address
4540 NW 7TH ST, MIAMI, FL 33126-2307
(305) 461-3448
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
PO2330
FL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PO2330
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24420
MEDICARE PTAN NUMBER
FL
Enumeration date
07/01/2015
Last updated
07/01/2015
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