Individual
LUIS GOURAIGE LAMMOGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 SW 36TH AVE, MIAMI, FL 33145-3034
(786) 515-3313
Mailing address
2323 SW 36TH AVE, MIAMI, FL 33145-3034
(786) 515-3313
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CGC 1510839
FL
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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