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Organization

GUILLERMO SOMODEVILLA MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUILLERMO SOMODEVILLA M.D. (PRESIDENT)
(305) 269-0385
Entity
Organization

Contact information

Practice address
12750 NW 17TH ST UNIT 214, MIAMI, FL 33182-1422
(305) 269-0385
Mailing address
12750 NW 17TH ST UNIT 214, MIAMI, FL 33182-1422
(305) 269-0385
(305) 269-0386

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0049294
FL

Other

Enumeration date
05/06/2008
Last updated
04/09/2026
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