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General NPI Number Information
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NPI Number | 1659428134
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Entity Type | Organization
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Legal Business Name | GONZALEZ & PEREZ MD PA
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 8955 SW 87TH CT SUITE 204
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City | MIAMI
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State | FL
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Zip | 33176-2230
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Country | US
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Telephone | 305-274-9890
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Fax | 305-274-8791
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Provider Business Mailing Address
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Address Line | 8955 SW 87TH CT SUITE 204
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City | MIAMI
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State | FL
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Zip | 33176-2230
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Country | US
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Telephone | 305-274-9890
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Fax | 305-274-8791
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. SANDINO A GONZALEZ
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Credential | M.D.
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Telephone | 305-274-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | FL
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