# EGONZ, CORP

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

## Provider details

- **NPI number:** 1588807226
- **Authorized official:** MRS. ELMA GONZALEZ (CEO)
- **Authorized official phone:** (954) 297-6231

## Contact information

- **Practice address:** 14359 MIRAMAR PKWY, SUITE 332, MIRAMAR, FL 33027-4134
- **Practice address phone:** (954) 297-6231
- **Mailing address:** 14359 MIRAMAR PKWY, SUITE 332, MIRAMAR, FL 33027-4134
- **Mailing address phone:** (954) 297-6231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 04/10/2009