# MYDR FAMILY CLINIC, PA

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

## Provider details

- **NPI number:** 1619504479
- **Authorized official:** CARIDAD GONZALEZ MD (OWNER)
- **Authorized official phone:** (407) 978-6605

## Contact information

- **Practice address:** 1952 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3221
- **Practice address phone:** (407) 978-6605
- **Practice address fax:** (407) 978-6610
- **Mailing address:** 1962 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3221
- **Mailing address phone:** (407) 978-6605
- **Mailing address fax:** (407) 978-6610

## Taxonomy

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

## Other

- **Enumeration date:** 03/23/2020
- **Last updated:** 05/24/2021