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Individual
DANIEL GONZALEZ
Active
Individual
DANIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
83402
GA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME143365
FL
207RS0010X
Sports Medicine (Internal Medicine) Physician
83402
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/06/2016
Last updated
10/06/2020
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