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Individual
DR. MANUEL M GONZALEZ
Active
Individual
DR. MANUEL M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME83670
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME83670
FL
207RP1001X
Pulmonary Disease Physician
ME83670
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120577500
—
FL
01
—
264849100
PSN
FL
01
—
51993
BLUE CROSS BLUE SHIELD
FL
01
—
N210329
WELLCARE
FL
Enumeration date
06/22/2006
Last updated
04/10/2024
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