Individual
DR. GUSTAVO ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(305) 822-6914
Mailing address
1500 SAN REMO AVE, SUITE 280, CORAL GABLES, FL 33146-3043
(305) 665-4614
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME65335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252645000
—
FL
Enumeration date
06/07/2006
Last updated
08/07/2013
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