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Individual

RAFAEL GOSALBEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 SW 60TH CT STE 104, MIAMI, FL 33155-4069
(305) 669-6448
(305) 663-8485
Mailing address
PO BOX 277279, ATLANTA, GA 30384-7279
(800) 243-3839
(855) 527-5510

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
ME63491
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031838
NEIGHBORHOOD HEALTH PARTNERSHIP
FL
01
148549
WELLCARE
FL
01
17754
BLUE CROSS BLUE SHIELD
FL
01
208048
AVMED
FL
05
370961200
FL
01
7911584
GHI
FL
Enumeration date
06/29/2006
Last updated
04/25/2018
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