Individual
SONY GARY SANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18802 SW 55 ST, MIRAMAR, FL 33029-6291
(305) 978-5069
(954) 442-2545
Mailing address
152 NE 167TH ST, UNIT 102, NORTH MIAMI BEACH, FL 33162-3400
(305) 978-5069
(954) 442-2545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA003363
FL
Other
Enumeration date
04/02/2007
Last updated
02/10/2016
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