Individual
ESTHER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 W SOVEREIGN PATH, LECANTO, FL 34461-8071
(352) 527-0068
(352) 795-7883
Mailing address
1531 N BATH PT, CRYSTAL RIVER, FL 34429-8706
(352) 795-5774
(352) 795-7883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0073786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254093200
—
FL
01
—
ME0073786
LICENSE
FL
Enumeration date
02/22/2006
Last updated
07/08/2007
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