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Bismark F Gonzalez Md Pa
Primary Care Clinic/Center in Miami, Florida
NPI 1255722831

Bismark F Gonzalez Md Pa is a Primary Care Clinic/Center based in Miami, FL and is specialized in Primary Care. Bismark F Gonzalez Md Pa practices in Miami, FL. The NPI Number for Bismark F Gonzalez Md Pa is 1255722831 and holds a License No. ME62724 (Florida).

The current practice location address for Bismark F Gonzalez Md Pa is 13814 Sw 152Nd St, Miami, FL and can be reached out via phone at 305-238-2262 and via fax at 305-235-9096.

Location: 13814 Sw 152Nd St, Miami, FL, 33177-1164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255722831
Provider Name
Bismark F Gonzalez Md Pa
Credential
Provider Entity Type
Organization
Address
13814 Sw 152Nd St, Miami, FL, 33177-1164
Phone Number
305-238-2262
Fax Number
305-235-9096
Provider Enumeration Date
02/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373315701 05 FL
institution
Provider Business Practice Location Address Details
Address
13814 Sw 152Nd St
City
Miami
State
Florida
Zip
33177-1164
Phone Number
305-238-2262
Fax Number
305-235-9096
person
Provider Business Mailing Address Details
Address
13814 Sw 152Nd St
City
Miami
State
Florida
Zip
33177-1164
Phone Number
305-238-2262
Fax Number
305-235-9096
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
ME62724 (Florida)
Definition
Definition to come...
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