Organization
CMG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS GONZALEZ JR. M.D. (PRESIDENT)
(561) 627-0107
Entity
Organization
Contact information
Practice address
5608 PGA BLVD, SUITE 208, PALM BEACH GARDENS, FL 33418-4121
(561) 613-4500
Mailing address
5608 PGA BLVD, SUITE 208, PALM BEACH GARDENS, FL 33418-4121
(561) 613-4500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME87200
FL
Other
Enumeration date
04/12/2010
Last updated
04/26/2012
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