Individual
EITTEL OPPENHEIMER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
1600 SW ARCHER RD, BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0761
Mailing address
1600 SW ARCHER RD, BOX 100286, GAINESVILLE, FL 32610-0286
(352) 265-0761
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12722-I
PR
208600000X
Surgery Physician
Primary
ME124884
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019411300
—
FL
Enumeration date
08/25/2010
Last updated
10/19/2023
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