Organization
GARY D. SMALL DPM CORP
Active
Parent organization
GARY D. SMALL DPM CORP
Other names
Coral Gables Podiatry Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY D. SMALL DPM CORP
Authorized official
SAMANTHA MARTINEZ (OWNER)
(305) 444-7114
Entity
Organization
Contact information
Practice address
2645 SW 37TH AVE, SUITE 704, MIAMI, FL 33133-2754
(305) 444-7114
(305) 444-9587
Mailing address
2645 SW 37TH AVE, SUITE 704, MIAMI, FL 33133-2754
(305) 444-7114
(305) 444-9587
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
05/12/2016
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