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Individual
DR. MANUEL GONZALEZ JR.
Active
Individual
DR. MANUEL GONZALEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76871
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259714400
—
FL
01
—
44774W
MEDICARE ID
FL
01
—
44774X
MEDICARE ID
FL
Enumeration date
04/21/2006
Last updated
10/20/2022
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