# F. JORGE GONZALEZ M.D PA

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

## Provider details

- **NPI number:** 1366678674
- **Authorized official:** DR. FLORENCIO JORGE GONZALEZ M.D (OWNER/PRESIDENT)
- **Authorized official phone:** (407) 447-1628

## Contact information

- **Practice address:** 2902 N ORANGE AVE, L, ORLANDO, FL 32804-4605
- **Practice address phone:** (407) 447-1628
- **Practice address fax:** (321) 422-4651
- **Mailing address:** 2902 N ORANGE AVE, L, ORLANDO, FL 32804-4605
- **Mailing address phone:** (407) 447-1628
- **Mailing address fax:** (321) 422-4651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0079378 | FL | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 06/02/2009
