Individual
JOSE A GARGANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 SW 15TH ST, MIAMI, FL 33174-2920
(786) 203-9475
Mailing address
9601 SW 15TH ST, MIAMI, FL 33174-2920
(786) 203-9475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9333202
FL
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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