Individual
FERNANDO GONZALES-PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6735 CONROY RD, SUITE 229, ORLANDO, FL 32835
(407) 581-8640
(407) 581-8659
Mailing address
6735 CONROY RD, SUITE 229, ORLANDO, FL 32835
(407) 581-8640
(407) 581-8659
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
29251
AZ
2084N0400X
Neurology Physician
Primary
ME95934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276495400
—
FL
Enumeration date
02/17/2006
Last updated
01/29/2020
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