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Organization

GONZALO MOSQUERA MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GONZALO MOSQUERA M.D. (OWNER)
(813) 571-3311
Entity
Organization

Contact information

Practice address
1129 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 571-3311
(813) 571-2233
Mailing address
1129 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 571-3311
(813) 571-2233

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME71342
FL

Other

Enumeration date
09/14/2011
Last updated
09/14/2011
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