Ivan Gabriel Fundora Gonzalez, MD - Miami, FL

Ivan Gabriel Fundora Gonzalez, MD

General Practice Physician in Miami, Florida

NPI 1568036010

Ivan Gabriel Fundora Gonzalez is a General Practice Physician based in Miami, FL. Ivan Gabriel Fundora Gonzalez practices in Miami, FL and has the professional credentials of MD. The NPI Number for Ivan Gabriel Fundora Gonzalez is 1568036010 and holds a License No. (Florida).

The current practice location address for Ivan Gabriel Fundora Gonzalez is 6801 Sw 8Th St, Miami, FL and can be reached out via phone at 855-226-6633 and via fax at 866-285-7068.

Location: 6801 Sw 8Th St, Miami, FL, 33144-4742

NPI Number

1568036010

Provider Name

Ivan Gabriel Fundora Gonzalez

Credential

Provider Entity Type

Individual

Gender

Male

Address

6801 Sw 8Th St, Miami, FL, 33144-4742

Phone Number

855-226-6633

Fax Number

866-285-7068

Provider Enumeration Date

05/19/2021

Last Update Date

03/13/2024

Address

6801 Sw 8Th St

City

Miami

State

Florida

Zip

33144-4742

Phone Number

855-226-6633

Fax Number

866-285-7068

Address

6801 Sw 8Th St

City

Miami

State

Florida

Zip

33144-4742

Phone Number

855-226-6633

Fax Number

866-285-7068

Type

Allopathic & Osteopathic Physicians

Classification

General Practice

Speciality

Taxonomy

208D00000X

License No.

ACN1463 (Florida)

Definition

Definition to come...

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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