Organization
ATLANTIC MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL M GONZALEZ (PRESIDENT)
(305) 223-7323
Entity
Organization
Contact information
Practice address
11373 W FLAGLER ST, SUITE 202, MIAMI, FL 33174-4203
(305) 223-7323
(305) 675-2668
Mailing address
11373 W FLAGLER ST, SUITE 202, MIAMI, FL 33174-4203
(305) 223-7323
(305) 675-2668
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC 7657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC7657
AHCA LICENSE
FL
Enumeration date
07/16/2007
Last updated
07/16/2007
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