Marisela Gonzalez M.d.p.a.

NPI #1275836330 in Miami, Florida

Provider Information

NPI Number: 1275836330
Entity Type: Organization
Organization Name: Marisela Gonzalez M.d.p.a.
Primary Specialty: General Practice
Enumeration Date: Dec 13, 2010
Last Updated: Dec 13, 2010

Practice Location

Address: 2780 SW 87TH AVE
Address 2: SUITE 100
City: Miami
State: Florida
ZIP Code: 33165-3296
Phone: (305) 220-3700

Authorized Official

Name: DR. MARISELA GONZALEZ, M.D.
Title: PRESIDENT/SOLE PROPRIETOR
Phone: (305) 220-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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