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General NPI Number Information
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NPI Number | 1295006435
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Entity Type | Organization
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Legal Business Name | STRONGHEALTH NETWORK PLLC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 815 NW 57TH AVE STE 130
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City | MIAMI
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State | FL
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Zip | 33126-2041
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Country | US
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Telephone | 305-266-2286
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Fax | 305-266-7786
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Provider Business Mailing Address
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Address Line | 815 NW 57TH AVE STE 130
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City | MIAMI
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State | FL
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Zip | 33126-2041
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Country | US
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Telephone | 305-266-2286
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Fax | 305-266-7786
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | MANUEL A GONZALEZ
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Credential | MD
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Telephone | 305-266-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME110782
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License Number State | FL
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