| NPI | 1497223606 |
|---|---|
| Doing Business As | MAGDACELY'S FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MAGDACELYS GONZALEZ President 786-518-1660 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |