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Individual
FERNANDO CELSO GONZALEZ RODRIGUEZ
Active
Individual
FERNANDO CELSO GONZALEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
26-220
FL
363A00000X
Physician Assistant
3047
PR
363A00000X
Physician Assistant
Primary
TPPA1241
FL
363AM0700X
Medical Physician Assistant
3047
PR
363AS0400X
Surgical Physician Assistant
3047
PR
Other
Enumeration date
04/28/2026
Last updated
06/24/2026
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