Individual
DR. JOSE A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 W 68TH ST, HIALEAH, FL 33014-4526
(305) 556-7245
(305) 558-9426
Mailing address
1340 W 68TH ST, HIALEAH, FL 33014-4526
(305) 556-7245
(305) 558-9426
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0055443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061413100
—
FL
Enumeration date
02/13/2006
Last updated
09/25/2013
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