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NPI Code Detail

MEDICARE: MS. MIGDALIA GONZALEZ PHARMD

MEDICARE: MS. MIGDALIA GONZALEZ PHARMD
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
1183500000XPharmacist24854FL

General Provider Information

NPI Number : 1295011542
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MIGDALIA GONZALEZ PHARMD
Provider Business Mailing Address
First Line : 9155 SW 167TH CT
Second Line :
City : MIAMI
State : FL
Zip : 33196-4812
Country : US
Telephone Number : 305-380-7591
Fax Number :
Provider Business Practice Location Address
First Line : 13698 SW 8TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33184-1039
Country : US
Telephone Number : 305-221-4589
Fax Number : 305-222-1258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2011
Last Update Date : 11/01/2011

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