Provider Demographics
NPI:1235454638
Name:GOSTHE, RAUL GUSTAVO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAUL
Middle Name:GUSTAVO
Last Name:GOSTHE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9380 SW 150TH ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7947
Mailing Address - Country:US
Mailing Address - Phone:305-256-4334
Mailing Address - Fax:305-256-4336
Practice Address - Street 1:9380 SW 150TH ST
Practice Address - Street 2:SUITE 270
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7947
Practice Address - Country:US
Practice Address - Phone:305-256-4334
Practice Address - Fax:305-256-4336
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2016-09-15
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Provider Licenses
StateLicense IDTaxonomies
FLME124404207XS0114X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery