Organization
GABLES PROFESSIONAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARITA PARDO (PRESIDENT/OWNER)
(305) 447-4009
Entity
Organization
Contact information
Practice address
3934 SW 8TH ST, SUITE 308, CORAL GABLES, FL 33134-2949
(305) 447-4009
(305) 447-4085
Mailing address
3934 SW 8TH ST, SUITE 308, CORAL GABLES, FL 33134-2949
(305) 447-4009
(305) 447-4085
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7165
AHCA LICENSE
FL
Enumeration date
10/02/2006
Last updated
08/22/2020
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