Individual
CARLOS JULIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 US HIGHWAY 27 N, LAKE PLACID, FL 33852-7948
(813) 314-4466
Mailing address
4519 GEORGE RD, STE. 100, TAMPA, FL 33634-7329
(813) 496-1075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME30162
FL
Other
Enumeration date
09/23/2005
Last updated
08/15/2007
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