Organization
HORACIO GONZALEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORACIO GONZALEZ M.D (OWNER)
(407) 834-3730
Entity
Organization
Contact information
Practice address
515 STATE ROAD 436, SUITE 1006, CASSELBERRY, FL 32707-5341
(407) 834-3730
(407) 834-4863
Mailing address
515 STATE ROAD 436, SUITE 1006, CASSELBERRY, FL 32707-5341
(407) 834-3730
(407) 834-4863
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME41239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068958100
—
FL
Enumeration date
05/29/2008
Last updated
09/11/2008
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