Individual
MR. ALFREDO ENRIQUE SANCHEZ GAMBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 585-5903
Mailing address
4297 PINE RIDGE CT, WESTON, FL 33331-5041
(954) 225-4518
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-141
WI
Other
Enumeration date
12/21/2024
Last updated
01/08/2025
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