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1972205474
LUCAS GONZALEZ NIETO
MIAMI, FL
NPI
1972205474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
LUCAS GONZALEZ NIETO MD
11880 BIRD RD STE 101
MIAMI, FL 33175-3573
Phone number: 786-419-8828
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Mailing Address
LUCAS GONZALEZ NIETO MD
740 NE 178TH TER
MIAMI, FL 33162-1131
Phone number: 786-683-1719
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