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Individual

DR. ANTONIO GANDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 68TH ST, HIALEAH, FL 33016-1801
(305) 823-5000
(904) 346-0113
Mailing address
PO BOX 534235, ATLANTA, GA 30353-4235
(305) 651-2270
(904) 346-0113

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0053887
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030416600
FL
01
07848
BCBS
FL
Enumeration date
09/27/2006
Last updated
08/23/2013
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