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NPI Code Detail

MEDICARE: JOSE GIL MD PA

MEDICARE: JOSE GIL MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME102645FL
2208D00000XGeneral Practice PhysicianME102645FL

General Provider Information

NPI Number : 1184864662
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSE GIL MD PA
Provider Business Mailing Address
First Line : 3773 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1601
Country : US
Telephone Number : 305-403-7298
Fax Number : 305-403-7318
Provider Business Practice Location Address
First Line : 3773 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1601
Country : US
Telephone Number : 305-403-7298
Fax Number : 305-403-7318
Authorized Official
Title or Position : PRESIDENT
Name : JOSE D GIL
Credential : MD
Telephone Number : 305-403-7298
Provider Enumeration Date : 02/24/2009
Last Update Date : 02/24/2009

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