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Organization
GONZALEZ & MICHAEL MEDICAL ASSOC., P.A.
Active
Organization
GONZALEZ & MICHAEL MEDICAL ASSOC., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB MICHAEL M.D. (PRESIDENT)
(727) 842-3600
Entity
Organization
Contact information
Practice address
5411 GRAND BLVD, SUITE 101, NEW PORT RICHEY, FL 34652-4011
(727) 842-3600
(727) 845-0732
Mailing address
5411 GRAND BLVD, SUITE 101, NEW PORT RICHEY, FL 34652-4011
(727) 842-3600
(727) 845-0732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME39308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1453891
UHC GROUP
FL
01
—
74767
BLUE CROSS BLUE SHIELD
FL
01
—
DC7779
RAIL ROAD MEDICARE
FL
Enumeration date
10/04/2006
Last updated
08/22/2020
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