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General NPI Number Information
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NPI Number | 1063221778
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Entity Type | Organization
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Legal Business Name | JGC ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 5040 NW 7TH ST STE 635
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City | MIAMI
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State | FL
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Zip | 33126-3796
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Country | US
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Telephone | 305-644-2212
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Fax | 786-365-7269
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Provider Business Mailing Address
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Address Line | 3410 CORAL WAY APT 703
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City | MIAMI
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State | FL
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Zip | 33145-3082
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Country | US
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Telephone | 787-454-4408
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Fax | 786-364-7269
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Authorized Official
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Title or Position | OWNER
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Name | JAVIER A GONZALEZ
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Credential | MD
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Telephone | 787-454-4408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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