# BLANCA NELIDA GONZALEZ MD PA

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

## Provider details

- **NPI number:** 1558632646
- **Authorized official:** BLANCA N GONZALEZ MD (OWNER)
- **Authorized official phone:** (305) 351-2405

## Contact information

- **Practice address:** 1435 W 49TH PL STE 701, HIALEAH, FL 33012-3158
- **Practice address phone:** (305) 351-2405
- **Practice address fax:** (305) 290-2037
- **Mailing address:** 1435 W 49TH PL STE 701, HIALEAH, FL 33012-3158
- **Mailing address phone:** (305) 351-2405
- **Mailing address fax:** (305) 290-2037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME106369 | FL | Yes |

## Other

- **Enumeration date:** 01/20/2012
- **Last updated:** 06/17/2024