Individual
JULIO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 NOKOMIS AVE S, SUITE B, VENICE, FL 34285-2319
(941) 485-3302
(941) 485-2673
Mailing address
241 NOKOMIS AVE S, SUITE B, VENICE, FL 34285-2319
(941) 485-3302
(941) 485-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME61283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271898700
—
FL
01
—
35812
BLUE CROSS BLUE SHIELD
—
01
—
5379810001
MEDICARE DME
FL
01
—
P00121095
RAILROAD MEDICARE
—
Enumeration date
06/12/2006
Last updated
10/16/2013
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