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General Surgery MD LLC

Surgery in Miami Lakes, FL. Organization (NPI-2).

NPI number1033971908
StatusActive
Last updated in NPPESAug 13, 2024

Details

NPI
1033971908
Entity type
Organization (NPI-2)
Legal business name
General Surgery MD LLC
Organization subpart
No
Enumeration date
Jan 26, 2024
Certification date
Aug 13, 2024
Last updated
Aug 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

16836 Nw 91st Ave
Miami Lakes, FL 33018-6324

Phone 305-609-4157 · Fax 786-464-0594

Mailing address

16836 Nw 91st Ave
Miami Lakes, FL 33018-6324

Phone 305-609-4157

Authorized official

Lorenzo Rodriguez Hernandez
Owner
3056094157

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