Individual
LEOPOLDO B GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HEALTH PARK BLVD, ANDERSON GIBBS BLDG., SUITE 221, ST AUGUSTINE, FL 32086-5793
(904) 824-4277
(904) 824-4490
Mailing address
301 HEALTH PARK BLVD, ANDERSON GIBBS BLDG., SUITE 221, ST AUGUSTINE, FL 32086-5793
(904) 824-4277
(904) 824-4490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0022097
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054187700
—
FL
Enumeration date
07/12/2006
Last updated
01/08/2009
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