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Dora A Gaxiola, MD
General Practice Physician in Florida City, Florida
NPI 1770715047

Dora A Gaxiola is a General Practice Physician based in Pembroke Pines, FL. Dora A Gaxiola practices in Florida City, FL and has the professional credentials of MD. The NPI Number for Dora A Gaxiola is 1770715047 and holds a License No. 17667 (Florida).

The current practice location address for Dora A Gaxiola is Florida Department Of Corrections, Dade C I, Florida City, FL and can be reached out via phone at 786-349-2364.

Location: Florida Department Of Corrections, Dade C I, Florida City, FL, 33026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770715047
Provider Name
Dora A Gaxiola
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Florida Department Of Corrections, Dade C I, Florida City, FL, 33026
Phone Number
786-349-2364
Fax Number
Provider Enumeration Date
08/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Florida Department Of Corrections, Dade C I
City
Florida City
State
Florida
Zip
33034
Phone Number
786-349-2364
Fax Number
person
Provider Business Mailing Address Details
Address
Florida Department Of Corrections, Dade C I
City
Florida City
State
Florida
Zip
33034
Phone Number
786-349-2364
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN380 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Prison Health
Taxonomy
261QP2400X
License No.
17667 ()
Definition
Definition to come...
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