Organization
DORAL CANCER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL A GONZALEZ M.D. (PRESIDENT)
(787) 632-2169
Entity
Organization
Contact information
Practice address
3125 NW 84TH AVE, DORAL, FL 33122-1994
(305) 785-7899
(786) 410-5180
Mailing address
1172 S DIXIE HWY, STE 161, CORAL GABLES, FL 33146-2918
(305) 785-7899
(786) 410-5180
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME121889
FL
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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