Gold Coast Physician Group Inc.

NPI #1467092759 in Doral, Florida

Provider Information

NPI Number: 1467092759
Entity Type: Organization
Organization Name: Gold Coast Physician Group Inc.
Primary Specialty: General Practice
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 8181 NW 36TH ST STE 14E
City: Doral
State: Florida
ZIP Code: 33166-6646
Phone: (305) 360-3682

Authorized Official

Name: ALFREDO ROBERT
Title: PRESIDENT
Phone: (305) 772-7807

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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