# MARISELA GONZALEZ M.D.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275836330
- **Authorized official:** DR. MARISELA GONZALEZ M.D. (PRESIDENT/SOLE PROPRIETOR)
- **Authorized official phone:** (305) 220-3700

## Contact information

- **Practice address:** 2780 SW 87TH AVE, SUITE 100, MIAMI, FL 33165-3296
- **Practice address phone:** (305) 220-3700
- **Practice address fax:** (305) 220-9002
- **Mailing address:** 2780 SW 87TH AVE, SUITE 100, MIAMI, FL 33165-3296
- **Mailing address phone:** (305) 220-3700
- **Mailing address fax:** (305) 220-9002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME59833 | FL | Yes |

## Other

- **Enumeration date:** 12/13/2010
- **Last updated:** 12/13/2010