Individual
DR. JOSE EDWARDO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12515 SW 88TH ST, MIAMI, FL 33186-1829
(305) 642-5366
(305) 644-6407
Mailing address
8600 NW 41ST ST, DORAL, FL 33166-6202
(305) 642-5366
(305) 644-6407
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01063687A
IN
Other
Enumeration date
05/10/2007
Last updated
01/15/2021
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