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Organization

PROVECTUS HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALDO GONZALEZ-BEICOS MD (AUTHORIZED OFFICIAL)
(786) 422-5223
Entity
Organization

Contact information

Practice address
7887 N KENDALL DR STE 215, MIAMI, FL 33156-7758
(786) 422-5223
Mailing address
1430 S DIXIE HWY STE 1080, CORAL GABLES, FL 33146-3176
(786) 422-5223

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
261QR0200X
Radiology Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103989700
FL
01
LQ353
MEDICARE - FL
FL
01
ME115800
ME115800
FL
Enumeration date
04/13/2020
Last updated
10/24/2023
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