Organization
FANNY GONZALEZ, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANNY GONZALEZ M.D. (OWNER)
(305) 856-7005
Entity
Organization
Contact information
Practice address
2525 SW 3RD AVE, UNIT CU1, MIAMI, FL 33129-2056
(305) 856-7005
(305) 856-7533
Mailing address
PO BOX 144653, CORAL GABLES, FL 33114-4653
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
ME106001
FL
Other
Enumeration date
04/28/2010
Last updated
05/10/2012
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