Individual
JUAN JOSE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1834 N ALAFAYA TRL, SUITE A, ORLANDO, FL 32826-4743
(321) 235-0692
(321) 235-0694
Mailing address
805 OAKLEY SEAVER DR, SUITE A, CLERMONT, FL 34711-1968
(321) 235-0692
(321) 235-0694
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
15837
PR
261QV0200X
VA Clinic/Center
ME114422
FL
Other
Enumeration date
01/19/2007
Last updated
01/09/2017
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