FANNY GONZALEZ, M.D. P.A.
Medical Practice at 3 Ave, Miami, FL

License number
Florida ME106001
Category
Medical Practice
Type
Pediatric Nephrology
Owner
Name: DR. FANNY GONZALEZ M.D.
Title: OWNER
Phone: (305) 856-7005
Address
Address
2525 SW 3Rd Ave UNIT CU1, Miami, FL 33129
National Provider ID: 1144547399
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fanny Gonzalez, M.D., PA

Miami, FL

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Doing business as:
Fanny Gonzalez
Registration:
Apr 12, 2010
Addresses:
2525 SW 3 Ave, Miami, FL 33129
PO Box 144653, Miami, FL 33114
220 SW 31 Ave, Miami, FL 33135
State ID:
P10000031607
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretarys:
Fanny Gonzalez (Director, President, Secretary, Treasurer),Fanny Benitez President, Treasurer, Director, Secretary, inactive
Agent:
Maria Gonzalez

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