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General NPI Number Information
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NPI Number | 1487848776
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Entity Type | Organization
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Legal Business Name | ALBERTO GONZALEZ GOMEZ MD PA
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 5200 SW 8TH ST SUITE 204B
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City | CORAL GABLES
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State | FL
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Zip | 33134-2300
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Country | US
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Telephone | 305-445-9330
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Fax | 305-448-6448
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Provider Business Mailing Address
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Address Line | 5200 SW 8TH ST SUITE 204B
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City | CORAL GABLES
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State | FL
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Zip | 33134-2300
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Country | US
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Telephone | 305-445-9330
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Fax | 305-448-6448
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ALBERTO GONZALEZ GOMEZ
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Credential | MD
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Telephone | 305-445-9330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME91892
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License Number State | FL
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