Gonzalo J Iravedra PA
NPI #1215941596 in Pembroke Pines, Florida
Provider Information
- NPI Number
- 1215941596
- Entity Type
- Organization
- Organization Name
- Gonzalo J Iravedra PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 29, 2006
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 18503 PINES BLVD
- Address 2
- SUITE 303
- City
- Pembroke Pines
- State
- Florida
- ZIP Code
- 33029-1404
- Phone
- (954) 499-7878
Authorized Official
- Name
- GONZALO J IRAVEDRA, MD
- Title
- PRESIDENT
- Phone
- (954) 499-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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