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Organization
JOSE N GONZALEZ MD PA
Active
Organization
JOSE N GONZALEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE NOEL GONZALEZ M.D. (PRESIDENT)
(305) 857-6980
Entity
Organization
Contact information
Practice address
1300 CORAL WAY, SUITE 202, MIAMI, FL 33145-2934
(305) 857-6980
(305) 857-6982
Mailing address
1300 CORAL WAY, SUITE 202, MIAMI, FL 33145-2934
(305) 857-6980
(305) 857-6982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0055652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254267600
—
FL
Enumeration date
06/09/2008
Last updated
11/08/2011
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