# MISAEL GONZALEZ MD P A

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

## Provider details

- **NPI number:** 1932455904
- **Authorized official:** DR. MISAEL GONZALEZ MD (PRESIDENT)
- **Authorized official phone:** (305) 967-8311

## Contact information

- **Practice address:** 760 PONCE DE LEON BLVD STE 107A, CORAL GABLES, FL 33134-2076
- **Practice address phone:** (305) 967-8311
- **Practice address fax:** (305) 967-8506
- **Mailing address:** 760 PONCE DE LEON BLVD, SUITE 107A, CORAL GABLES, FL 33134-2076
- **Mailing address phone:** (305) 967-8311
- **Mailing address fax:** (305) 967-8506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME80610 | FL | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 10/21/2013