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Individual
FANNY GONZALEZ
Active
Individual
FANNY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME106001
FL
2080P0210X
Pediatric Nephrology Physician
Primary
ME106001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002182200
—
FL
05
—
131373200
—
FL
Enumeration date
05/23/2007
Last updated
06/25/2026
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