Individual
MR. MARIO DE JESUS BERNAL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
11750 SW 92ND LN, MIAMI, FL 33186-2100
(786) 899-8222
Mailing address
11750 SW 92ND LN, MIAMI, FL 33186-2100
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-260
FL
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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