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General NPI Number Information
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NPI Number | 1992712913
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Entity Type | Organization
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Legal Business Name | LLORET FIALKOW & GOMEZ MDS PA
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7400 SW 87TH AVE SUITE 100
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-275-8200
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Fax | 305-274-7812
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Provider Business Mailing Address
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Address Line | 7400 SW 87TH AVE SUITE 100
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-275-8200
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Fax | 305-274-7812
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMON LUIS LLORET
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Credential | MD
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Telephone | 305-275-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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