Organization
RAFAEL GOTTENGER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL DAVID GOTTENGER MD (PRESIDENT)
(305) 669-0900
Entity
Organization
Contact information
Practice address
7330 SW 62ND PL, SUITE #205, SOUTH MIAMI, FL 33143-4825
(305) 669-0900
(305) 669-0100
Mailing address
PO BOX 431900, SOUTH MIAMI, FL 33243-1900
(305) 669-0900
(305) 669-0100
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME91263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K7623
—
FL
Enumeration date
06/07/2007
Last updated
03/15/2017
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