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NPI Code Detail

MEDICARE: GILDA SOSA

MEDICARE:   GILDA  SOSA
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
1104100000XSocial Worker

Other Identifiers

General Provider Information

NPI Number : 1669861894
Entity Type Code : Individual
Provider Name (Legal Business Name) : GILDA SOSA
Provider Business Mailing Address
First Line : 2300 W 84TH ST STE 105
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5771
Country : US
Telephone Number : 786-666-0507
Fax Number : 786-666-0419
Provider Business Practice Location Address
First Line : 2300 W 84TH ST STE 105
Second Line :
City : HIALEAH
State : FL
Zip : 33016-5771
Country : US
Telephone Number : 786-666-0507
Fax Number : 786-666-0419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2015
Last Update Date : 07/20/2016

Similar Medicare Providers

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Directions to “ GILDA SOSA ” Practice Location

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