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Gonzalo Iravedra, MD
NPI 1437130002 · on the registry since 2005 · sole proprietor
Practice
- Address
- 15757 Pines Blvd
Suite 395
Pembroke Pines, FL 33027 - Phone
- (954) 475-5500
- Fax
- (954) 625-8771
- Organisation at this address
- Ilyssa Hershey Psyd Llc
Back To Basic Wellness Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida