Individual
GONZALO T FLORIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 N 7TH ST, KENTLAND, IN 47951-1379
(219) 474-5464
(219) 474-3603
Mailing address
303 N 7TH ST, KENTLAND, IN 47951-1379
(219) 474-5464
(219) 474-3603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01041111A
IN
207R00000X
Internal Medicine Physician
36074510
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003815082
BCBS
IL
05
—
100187070A
—
IN
05
—
36074510
—
IL
Enumeration date
02/08/2007
Last updated
10/13/2020
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