Individual
GONZALO A ORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1696 SE HILLMOOR DR, SUITE A, PORT ST LUCIE, FL 34952-7699
(772) 337-4600
(772) 337-7600
Mailing address
1696 SE HILLMOOR DR STE B, PORT ST LUCIE, FL 34952-7699
(772) 337-4600
(772) 337-7600
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0045423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036233600
—
FL
01
—
96767
BCBSFL
FL
01
—
96767Z
MEDICARE PROVIDER
FL
Enumeration date
05/16/2006
Last updated
02/22/2020
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